CAJ | 학술논문

目的：探讨前路病灶清除减压植骨融合内固定治疗胸腰椎结核的临床疗效。方法对39例胸腰椎结核患者进行前路病灶清除减压植骨融合内固定治疗，术前、术后行异烟肼、利福平、乙胺丁醇三联抗结核并观察其疗效。结果36例患者获得随访（时间12个月～46个月（平均23.4个月）。末次随访CT证实植骨融合良好、全部为骨性愈合，植骨块无移位和吸收，植骨愈合时间3个月～6个月（平均为3.5个月）。Frankel分级2例B级患者恢复至D级，其余患者全部恢复至 E级。结论前路病灶清除植骨内固定术治疗胸腰椎结核疗效肯定，有利于患者的康复。
목적：탐토전로병조청제감압식골융합내고정치료흉요추결핵적림상료효。방법대39례흉요추결핵환자진행전로병조청제감압식골융합내고정치료，술전、술후행이연정、리복평、을알정순삼련항결핵병관찰기료효。결과36례환자획득수방（시간12개월～46개월（평균23.4개월）。말차수방CT증실식골융합량호、전부위골성유합，식골괴무이위화흡수，식골유합시간3개월～6개월（평균위3.5개월）。Frankel분급2례B급환자회복지D급，기여환자전부회복지 E급。결론전로병조청제식골내고정술치료흉요추결핵료효긍정，유리우환자적강복。
Objective To investigate the clinical efficacy of anterior debridement Treatment of thoracolumbar tuberculosis decompression and fusion. Methods 39 cases of thoracolumbar spinal tuberculosis patients with anterior debridement and fusion fixation decompression, preoperative and postoperative isoniazid, rifampicin, ethambutol triple antituberculosis and observe its effect Results 36 patients received fol ow-up (12 months ~46 months (mean 23.4 months). The last fol ow-up CT confirmed good, al for osseous healing bone graft fusion, shiftless and bone graft absorption, bone graft healing time 3 months ~ 6 months (mean 3.5 months). Frankel classification 2 B patients return to D, the others al return to E. Conclusion Anterior lesion clearance bone graft and internal fixation treatment thoracolumbar tuberculosis curative effect affirmation, is beneficial to the recovery of patients.