微创手术治疗脊柱结核的临床研究(1)
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【摘要】目的:探讨微创手术治疗脊柱结核的临床疗效.方法:回顾性分析32例脊柱结核的临床资料.术前有明显神经症状的8例,其中Frankel分级C级3例,Frankel分级D级5例.所有患者采用术式均为在CT引导下行经皮病灶清除,病灶置管,抗结核药物灌注冲洗引流.以吴启秋结核临床治愈标准进行疗效评估.结果:随访1-5年,平均3年,结果所有患者均达到临床治愈,有神经功能损害者均完全恢复.结论:脊柱结核微创治疗创伤小,疗效好,对活动期脊柱结核的临床效果好.
【关键词】脊柱结核; 微创手术; CT引导; 灌注冲洗
【中图分类号】R4 【文献标识码】A 【文章编号】1674-0742(2012)03(c)-0000-00
【Abstract】Objective : Discussion on the clinical effect of minimally invasive surgery in treatment of spinal tuberculosis. Methods : Retrospective clinical analysis of 32 cases of spinal tuberculosis information. 8 cases of preoperative obvious neurological deficits, which Frankel classification grade C in 3 cases, Frankel grading grade D in 5 cases. Are all patients in the surgical downward CT-guided percutaneous focal cleaning, focus catheter, irrigation and drainage for anti-TB drugs perfusion. To Wu Qiqiu tuberculosis clinical healing efficacy standards ......
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