浅谈骨与关节结核的分类治疗（Classification and treatment of tuberculosis of bone and joint）.docVIP

浅谈骨与关节结核的分类治疗（Classification and treatment of tuberculosis of bone and joint） Classification and treatment of tuberculosis of bone and joint Source: medical paper, /lunwen74596/ Abstract: bone and joint tuberculosis occurs in children and adolescents. It is a secondary form of tuberculosis. The primary lesion is tuberculosis or digestive tract tuberculosis. The predilection site is the spine, followed by the knee joint, hip joint and elbow joint. Key words: bone tuberculosis; joint tuberculosis; treatment Spinal tuberculosis Spinal tuberculosis accounts for the first place of tuberculosis of whole body joint, the majority with vertebral tuberculosis, accessory tuberculosis is very rare. The incidence of lumbar tuberculosis is the highest, followed by the thoracic vertebrae and the cervical spine. In children, the patient is more common. [pathology] Vertebral tuberculosis can be divided into two types: Central and marginal. 1. central vertebral tuberculosis is common in children under 10 years of age. It is common in the thoracic spine. The lesion is progressing rapidly and the entire vertebral body is compressed into a wedge. It usually affects only one vertebra, but also penetrates the intervertebral disc and involves the adjacent vertebral body. 2., the marginal type of vertebral tuberculosis is more common in adults, and the lumbar spine is the predilection site. The lesions are limited to the upper and lower margins of the vertebral body and soon invade the intervertebral disc and adjacent vertebral bodies. Disc destruction is a characteristic of the disease, and the intervertebral space is very narrow. The cold abscess after vertebral body destruction can have two kinds of manifestations: (1) paravertebral abscess. The streamer abscess. For example: Linqu and lumbar vertebral lesions caused by paravertebral abscess formation of psoas abscess, iliac fossa abscess, lumbar triangle abscess, groin abscess, deep and even appeared in the thigh, knee parts etc.. [clin