CAJ | 학술논문

目的：探讨短程化疗联合病灶清除、一期植骨内固定治疗胸腰椎结核的疗效。方法采用短程化疗、病灶清除、一期植骨及前路或后路内固定术治疗70例胸腰椎结核患者。结果70例均获随访，时间1～5（3.5±0.8）年。患者神经症状得到改善，植骨骨性融合，后凸畸形矫正较满意。结论短程化疗联合病灶清除、一期植骨及前路或后路内固定术，对患者神经功能的恢复、病椎的融合、脊柱稳定性的重建等方面治疗效果满意。
목적：탐토단정화료연합병조청제、일기식골내고정치료흉요추결핵적료효。방법채용단정화료、병조청제、일기식골급전로혹후로내고정술치료70례흉요추결핵환자。결과70례균획수방，시간1～5（3.5±0.8）년。환자신경증상득도개선，식골골성융합，후철기형교정교만의。결론단정화료연합병조청제、일기식골급전로혹후로내고정술，대환자신경공능적회복、병추적융합、척주은정성적중건등방면치료효과만의。
Objective To explore the clinical effect for the treatment of thoracic and lumbar tuberculosis with short-course chemotherapy and removing lesion of tuberculosis and bone graft with internal fixation at one stage.Methods 70 patients with thoracic and lumbar tuberculosis were treated with short-course chemotherapy and removing lesion of tuberculosis and bone graft and internal fixation.Results All patients were followed up for 1 ~5 (3.5 ±0.8 ) years.Bone graft obtained fusion,correction of deformity was satisfactory,and nerve symptom improved.Conclu-sions Removal lesion of tuberculosis is the main method for the treatment of spinal vertebra tuberculosis.On the ba-sis of short-course chemotherapy and the operation,internal fixation can increase stability of the spine,improve the rate of bony union and obtain satisfactory correction for deformity,which is safe and reliable at one stage.