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儿童生长期脊柱结核外科治疗现状及进展

Hits: 2415 Download times: 1405 Received:April 22, 2008

作者	Author	单位	Unit	E-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)

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 .

KEYWORDS: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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