CAJ | 학술논문

目的：探讨一期前路病灶清除同种异体骨植骨钛网植入钛板内固定治疗脊柱结核的临床效果及注意事项。方法回顾性分析2012年1月-2013年1月100例一期前路病灶清除同种异体骨植骨钛网植入钛板内固定治疗的胸腰段椎体结核患者的临床资料。结果所有病例伤口均Ⅰ期愈合,术后随访(17.12±5.26)月减压彻底,内固定位置满意,畸形全部矫正,植骨全部骨性融合,无内固定松动；胸背痛症状消失,2例有神经症状者术后半年均恢复。结论一期前路病灶清除同种异体骨植骨钛网植入钛板内固定治疗脊柱结核安全有效,切实可行,实施该手术需要注意：彻底清除病灶,植骨,牢固内固定,合理、规律、系统、长期抗结核化疗。
목적：탐토일기전로병조청제동충이체골식골태망식입태판내고정치료척주결핵적림상효과급주의사항。방법회고성분석2012년1월-2013년1월100례일기전로병조청제동충이체골식골태망식입태판내고정치료적흉요단추체결핵환자적림상자료。결과소유병례상구균Ⅰ기유합,술후수방(17.12±5.26)월감압철저,내고정위치만의,기형전부교정,식골전부골성융합,무내고정송동；흉배통증상소실,2례유신경증상자술후반년균회복。결론일기전로병조청제동충이체골식골태망식입태판내고정치료척주결핵안전유효,절실가행,실시해수술수요주의：철저청제병조,식골,뢰고내고정,합리、규률、계통、장기항결핵화료。
mycoplasma pneumoniae spread by droplets, after respiratory tract mucous membrane, by its special structure, closely adsorbed on the susceptibility of the host cell membrane receptor, performance in its proliferation and releasing toxic substances, such as hydrogen peroxide, enzymes, membrane lipid, result in tissue damage. The basic pathological change is interstitial pneumonia and acute capillary bronchitis, microscopi-cally visible local mucosal hyperemia, edema and thickening, the cell membrane is broken, epithelial cilia movement disappeared, mononuclear cells and plasma cell infiltrates, neutrophils are seen in the bronchioles and necrosis of epithelial cells. Quickly and actively controlling infection is an im-portant part of the treatment of mycoplasma pneumoniae pneumonia. Budesonide suspension liquid is a kind of the spray atomization inhalation of glu-cocorticoid, have higher glucocorticoid receptor binding force, can inhibit airway inflammatory cells and media release, reduce respiratory gao min re-action, reduce mucosal edema and mucus secretion, repair of the respiratory tract, quickly relieve clinical symptoms.