| 腰5骶1结核35例临床分析 |
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Received:August 23, 2002
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| 作者 | Author | 单位 | Unit | E-Mail |
| 傅晨 |
FU Chen |
兰州军区总医院全军骨科中心,甘肃兰州 730050 |
Department of Orthopaedics Surgery,The General Hospital of the PLA of Lanzhou, Gansu Lanzhou 730050 |
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| 刘兴炎 |
LIU Xingyan |
兰州军区总医院全军骨科中心,甘肃兰州 730050 |
Department of Orthopaedics Surgery,The General Hospital of the PLA of Lanzhou, Gansu Lanzhou 730050 |
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| 王晓峰 |
WANG Xiaofeng |
兰州军区总医院全军骨科中心,甘肃兰州 730050 |
Department of Orthopaedics Surgery,The General Hospital of the PLA of Lanzhou, Gansu Lanzhou 730050 |
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| 甄平 |
ZHEN Ping |
兰州军区总医院全军骨科中心,甘肃兰州 730050 |
Department of Orthopaedics Surgery,The General Hospital of the PLA of Lanzhou, Gansu Lanzhou 730050 |
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| 牛海平 |
NIU Haiping |
兰州军区总医院全军骨科中心,甘肃兰州 730050 |
Department of Orthopaedics Surgery,The General Hospital of the PLA of Lanzhou, Gansu Lanzhou 730050 |
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| 期刊信息：《中国骨伤》2003年16卷，第7期，第401-403页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨腰5骶1结核的发病特点及治疗手段。
方法:本组35例腰5骶1结核病人均给予正规、联用抗痨治疗4周后手术,其中单纯行经前路倒“八”字切口椎体病灶清除术者26例。5例行经前路倒“八”字切口椎体病灶清除术合并椎管探查、病灶清除术。4例先行经前路倒“八”字切口椎体病灶清除术,半年后Ⅱ期行椎管探查、病灶清除术。
结果 经2～5年随访,本组结核病均已治愈,植骨均融合满意。其中26例腰椎活动度正常,无任何不适。其余9例遗留轻度腰痛,腰部活动度略受限,该9例中4例遗留下肢部分区域皮肤感觉麻木。
结论:对于腰5骶1结核病例,误诊情况较普遍,强调抗痨治疗要充分、足量,对于该部位手术指征应放宽,术中要注意对下腔静脉分叉区域的正确处理。 |
| [关键词]:骨科手术方法 结核,骨关节 回顾性研究 |
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| Analysis of 35 cases of the tuberculosis in the lumbar-sacral vertebrae |
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Abstract:
Objective:To investigate the clinical features and treatment of the fifth lumbar vertebrae and the first sacral vertebrae tuberculosis(FLFST)
Methods:35 cases with FLFST were operated after regular combined with anti-tuberculotic medication.Among them,26 cases were operated for focal cleaning with simple front inverse"八"incision,intravertebral exploration and focal cleaning were conducted in 5 cases besides what had done above.4 patients were operated for focal cleaning with simple front inverse"八"incision at first,6 months later,intravertebral exploration and cleaning were conducted in secondary operation.
Results:After 2 to 5 years follow-up,all patients were cured and have a satisfactory fusion.26 cases felt no discomfortable and have normal lumbar vertebral activity.9 cases leaved slight back pain and limited lumbar motion.Among the 9 cases,4 leaved partial skin hypoesthesia on lower limbs.
Conclusion:Patients with FLFST are easy to misdiagnosis.Full antituberculotic medication was emphasis.The operation indication should be compromised to FLFST.It should be pain attention to the furcated regions in lower limbs vena. |
| KEYWORDS:Orthopaedics operative methods Tuberculosis,bone joint Retrospective studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 傅晨,刘兴炎,王晓峰,甄平,牛海平.腰5骶1结核35例临床分析[J].中国骨伤,2003,16(7):401~403 |
| 英文格式: | FU Chen,LIU Xingyan,WANG Xiaofeng,ZHEN Ping,NIU Haiping.Analysis of 35 cases of the tuberculosis in the lumbar-sacral vertebrae[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(7):401~403 |
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