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目的探讨颈椎附件结核患者的诊断和治疗方法。方法回顾分析2例诊断为颈椎附件结核患者,评估CT、MRI、病理检查结果及试验性抗结核治疗在诊断颈椎附件结核中的应用价值,分析手术和非手术治疗联合外支具固定制动对颈椎附件结核患者恢复的影响。结果 2例均获得随访,1例抗结核治疗联合手术治疗后恢复良好,随访1年后未见复发,另外1例为年轻患者,给予抗结核治疗1年联合颈部外支具制动3个月后患者完全恢复,未见复发迹象。结论 CT及MRI是诊断脊柱附件结核最有价值的方法,病理检查及结合试验性抗结核治疗有利于进一步诊断附件结核,药物抗结核治疗是治疗脊柱附件结核的主要方法,手术治疗在病灶清除及重建脊柱稳定性方面发挥了重要的作用。
Objective To investigate the diagnosis and treatment of tuberculosis patients with cervical attachment. Methods Two cases diagnosed as cervical attachment tuberculosis were retrospectively analyzed. The diagnostic value of CT, MRI, pathological examination and experimental anti-TB therapy in the diagnosis of cervical tuberculosis attachment tuberculosis were analyzed retrospectively. The relationship between surgical immobilization and non-surgical treatment The effect of cervical attachment tuberculosis recovery. Results Two cases were followed up, one case of anti-tuberculosis combined with surgical treatment recovered well, no follow-up one year after the recurrence, the other one case of young patients given anti-TB treatment of 1 year combined with cervical extra-brachial brake 3 After the patient completely recovered, no signs of recurrence. Conclusion CT and MRI are the most valuable methods to diagnose tuberculosis of spine attachment. Pathological examination and combination of experimental antituberculosis therapy are helpful to further diagnose accessory tuberculosis. Anti-TB drug therapy is the main method to treat tuberculosis of spinal attachment. Reconstruction of spinal stability has played an important role.