医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
12期
2436-2438,2439
,共4页
蒋之%刘波%谌朝%万轲%屈满英%胡云芬%彭亦
蔣之%劉波%諶朝%萬軻%屈滿英%鬍雲芬%彭亦
장지%류파%심조%만가%굴만영%호운분%팽역
体层摄影术,X线计算机%结核,脊柱/外科学%穿刺术
體層攝影術,X線計算機%結覈,脊柱/外科學%穿刺術
체층섭영술,X선계산궤%결핵,척주/외과학%천자술
Tomography,X-Ray Computed%Tuberculosis,Spinal/SU%Punctures
目的探讨全身化疗配合 CT 定位椎旁抽脓及局部注药治疗脊柱结核的疗效。方法回顾性分析1290例脊柱结核的临床资料,所有患者采用全身抗结核治疗18个月,结合 CT定位椎旁抽脓及局部注药治疗时间(55±14)d;其中310例患者有脊柱手术指征,在全身抗结核治疗结合CT定位椎旁抽脓及局部注药治疗2~4周后行病灶清除术。结果980例脊柱结核患者未发生交叉感染及窦道形成,随访3~5年,均达到治愈及停药标准,另310例手术后达到治愈。结论全身化疗配合CT定位椎旁抽脓及局部注药治疗结合全身抗结核治疗,对不伴有严重脊髓损伤或严重脊柱后凸畸形的脊柱结核疗效满意,值得临床推广。
目的探討全身化療配閤 CT 定位椎徬抽膿及跼部註藥治療脊柱結覈的療效。方法迴顧性分析1290例脊柱結覈的臨床資料,所有患者採用全身抗結覈治療18箇月,結閤 CT定位椎徬抽膿及跼部註藥治療時間(55±14)d;其中310例患者有脊柱手術指徵,在全身抗結覈治療結閤CT定位椎徬抽膿及跼部註藥治療2~4週後行病竈清除術。結果980例脊柱結覈患者未髮生交扠感染及竇道形成,隨訪3~5年,均達到治愈及停藥標準,另310例手術後達到治愈。結論全身化療配閤CT定位椎徬抽膿及跼部註藥治療結閤全身抗結覈治療,對不伴有嚴重脊髓損傷或嚴重脊柱後凸畸形的脊柱結覈療效滿意,值得臨床推廣。
목적탐토전신화료배합 CT 정위추방추농급국부주약치료척주결핵적료효。방법회고성분석1290례척주결핵적림상자료,소유환자채용전신항결핵치료18개월,결합 CT정위추방추농급국부주약치료시간(55±14)d;기중310례환자유척주수술지정,재전신항결핵치료결합CT정위추방추농급국부주약치료2~4주후행병조청제술。결과980례척주결핵환자미발생교차감염급두도형성,수방3~5년,균체도치유급정약표준,령310례수술후체도치유。결론전신화료배합CT정위추방추농급국부주약치료결합전신항결핵치료,대불반유엄중척수손상혹엄중척주후철기형적척주결핵료효만의,치득림상추엄。
Obj ective]To explore the efficacy of CT-guided para-vertebral aspiration and local drug inj ection for the treatment of spinal tuberculosis.[Methods]Clinical data of 1290 patients with spinal tuberculosis were an-alyzed retrospectively.Among them,980 patients received systemic anti-tuberculosis therapy for 18 months and CT-guided para-vertebral aspiration and local drug injection for 55±14 days,while 310 patients received systemic anti-tuberculosis therapy,CT-guided para-vertebral aspiration and local drug inj ection for 2~4 weeks,and then underwent spinal debridement.[Results]No cross infection and sinus formation were found in 980 patients.The patients were followed up for 3~5 years and met the curative and drug withdrawal criteria.After surgery,310 pa-tients were cured.[Conclusion]CT-guided para-vertebral aspiration and local drug inj ection combined with system-ic anti-tuberculosis therapy for the treatment of spinal tuberculosis without severe spinal inj ury or serious kyphosis has satisfactory effect.Therefore,it is worthy of clinical promotion.