儿童生长期脊柱结核外科治疗现状及进展
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作者Author单位AddressE-Mail
郑昌坤 ZHENG Chang-kun 温州医学院附属第二医院骨科,浙江 温州 325027 Department of Orthopaedics of the Second Hospital Affiliated Wenzhou Medical College,Wenzhou 325027,Zhejiang,China  
黄其杉 HUANG Qi-shan 温州医学院附属第二医院骨科,浙江 温州 325027 Department of Orthopaedics of the Second Hospital Affiliated Wenzhou Medical College,Wenzhou 325027,Zhejiang,China hqshaq@yahoo.com.cn 
胡月正 HU Yue-zheng 温州医学院附属第二医院骨科,浙江 温州 325027 Department of Orthopaedics of the Second Hospital Affiliated Wenzhou Medical College,Wenzhou 325027,Zhejiang,China  
期刊信息:《中国骨伤》2008年,第21卷,第8期,第641-643页
DOI:doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz
基金项目:浙江省医药卫生科学研究基金项目计划(编号:2005A080)
中文摘要:回顾性研究近年来大量儿童生长期脊柱结核外科治疗文献,探讨儿童脊柱结核的特点,分析儿童生长期脊柱结核外科治疗的进展,总结了儿童脊柱结核手术治疗的指征,分析各种脊柱结核手术方法的临床疗效,目前认为前路病灶清除联合前后路植骨融合往往能获得良好的生长率和畸形校正。椎弓根内固定对儿童脊柱结核是安全可行的。早期积极手术,能防治儿童脊柱后凸畸形。微创外科技术是儿童生长期脊柱结核治疗的发展方向。
【关键词】结核,脊柱  外科手术  儿童  综述文献
 
Current state and development in surgical treatment for children with spinal tuberculosis
ABSTRACT  This article reviews a large number of recent years' literatures about surgical treatment for children with spinal tuberculosis on the characteristics of children with spinal tuberculosis,and analyzes the development of surgical treatment for children with spinal tuberculosis. Then it summarizes the indications of surgical treatment for children with spinal tuberculosis,and analyzes the clinical effect of various surgical methods of spinal tuberculosis,assesses that anterior debridement combined with anterior and posterior interbody autografting can be a good growth rate and deformity correction. Pedicle fixation on the children with spinal tuberculosis is safe and feasible. The positive early surgery can control children kyphosis. Minimally invasive surgery is the development direction of treatment for children spinal tuberculosis .
KEY WORDS  Tuberculosis,spinal  Surgical procedures,operative  Child  Review literature
 
引用本文,请按以下格式著录参考文献:
中文格式:郑昌坤,黄其杉,胡月正.儿童生长期脊柱结核外科治疗现状及进展[J].中国骨伤,2008,21(8):641~643
英文格式:ZHENG Chang-kun,HUANG Qi-shan,HU Yue-zheng.Current state and development in surgical treatment for children with spinal tuberculosis[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(8):641~643
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