中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
28期
301-301,306
,共2页
脊柱结核%外科治疗%短程化疗%病灶%植骨
脊柱結覈%外科治療%短程化療%病竈%植骨
척주결핵%외과치료%단정화료%병조%식골
Spinal tuberculosis%Surgical treatment%DOTS%Lesions%Graft
目的：?研究并探讨复治的脊柱结核外科治疗加短程化疗的临床效果。方法?研究选取在2009年6月至2012年12月收治的30例复治的脊柱结核患者，所有患者都自愿接受调查和服从所有准则，先进行外科手术治疗，清除病灶和融合植骨，根据药敏试验的结果以及抗结核的疗效制定相应的化疗方案，化疗期间观察放射影像、结核症状的变化和化验指标的变化。结果?患者化疗5周内以及术后的4个月内结核症状显著改善，CRP平均值和血沉明显下降，基本恢复正常；术后10个月内影像学检查没有内固定松动现象发生，外科治疗加短程化疗的有效率超过90%。结论?对复治的脊柱结核患者实施外科治疗加短程化疗对治疗效果有显著作用，病灶的清除能缩短化疗的时间，这对提高疗效有重要意义。
目的：?研究併探討複治的脊柱結覈外科治療加短程化療的臨床效果。方法?研究選取在2009年6月至2012年12月收治的30例複治的脊柱結覈患者，所有患者都自願接受調查和服從所有準則，先進行外科手術治療，清除病竈和融閤植骨，根據藥敏試驗的結果以及抗結覈的療效製定相應的化療方案，化療期間觀察放射影像、結覈癥狀的變化和化驗指標的變化。結果?患者化療5週內以及術後的4箇月內結覈癥狀顯著改善，CRP平均值和血沉明顯下降，基本恢複正常；術後10箇月內影像學檢查沒有內固定鬆動現象髮生，外科治療加短程化療的有效率超過90%。結論?對複治的脊柱結覈患者實施外科治療加短程化療對治療效果有顯著作用，病竈的清除能縮短化療的時間，這對提高療效有重要意義。
목적：?연구병탐토복치적척주결핵외과치료가단정화료적림상효과。방법?연구선취재2009년6월지2012년12월수치적30례복치적척주결핵환자，소유환자도자원접수조사화복종소유준칙，선진행외과수술치료，청제병조화융합식골，근거약민시험적결과이급항결핵적료효제정상응적화료방안，화료기간관찰방사영상、결핵증상적변화화화험지표적변화。결과?환자화료5주내이급술후적4개월내결핵증상현저개선，CRP평균치화혈침명현하강，기본회복정상；술후10개월내영상학검사몰유내고정송동현상발생，외과치료가단정화료적유효솔초과90%。결론?대복치적척주결핵환자실시외과치료가단정화료대치료효과유현저작용，병조적청제능축단화료적시간，저대제고료효유중요의의。
Objective?To?study?and?to?explore?the?retreatment?of?the?clinical?effect?of?surgical?treatment?of?spinal?tuberculosis?with?dots.?Methods?Selection?our?hospital?during?June?2009?to?December?2009?treated?30?cases?of?spinal?tuberculosis?in?retreatment?of?patients,?all?of?the?patients?are?voluntary?to?answer?surveys?and?obey?all?the?rules,?to?surgical?treatment,?removal?of?lesion?and?bone?graft?fusion,?according?to?the?result?of?drug?sensitive?test?and?the?curative?effect?of?anti-tuberculosis?chemotherapy?regimens?formulate?corresponding,?observed?during?chemotherapy?radiation?image?changes,?tuberculosis?symptoms?and?laboratory?indicators.?Results?Five?weeks?of?chemotherapy?and?postoperative?patients?with?TB?symptoms?improved?signiifcantly?within?4?months,?the?average?CRP?and?blood?sedimentation?markedly?reduced,?basic?returned?to?normal;?Postoperative?imaging?examination?in?10?months?without?internal?ifxation?loosening?phenomenon?occurs,?surgery?plus?efifcient?dots?more?than?90%.?Conclusion?Surgical?treatment?for?recurrent?patients?with?spinal?tuberculosis?with?dots?on?treatment?effects?have?signiifcant?effect,?the?removal?of?the?lesion?can?shorten?the?time?of?chemotherapy,?which?has?important?signiifcance?to?improve?the?curative?effect.
