an anterior debridement and internal fixation and fusion for thoracic tuberculosis（一个前清创术和内固定和融合胸肺结核）.docVIP

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2017-09-05 发布于浙江
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an anterior debridement and internal fixation and fusion for thoracic tuberculosis（一个前清创术和内固定和融合胸肺结核）.doc

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an anterior debridement and internal fixation and fusion for thoracic tuberculosis（一个前清创术和内固定和融合胸肺结核）

An anterior debridement and internal fixation and fusion for thoracic tuberculosis : Hu Junhua Wu Guangliang Houxiu Wei Pei Yong Xu Yonghui In recent years, the resurgence of tuberculosis, spinal tuberculosis is the most common extrapulmonary tuberculosis, and its high morbidity. In the period from August 2008 to August 20011, the use of an anterior debridement, fixation and fusion in the treatment of thoracic spinal tuberculosis in 24 cases, after the satisfaction of the follow-up effect, reported as follows. Clinical data 6 males and 8 females aged 25 to 68 years, an average of 46 years and 9 months duration of 4 weeks to 9 months, an average of 3.4 months. Clinical manifestations in addition to the chest and back pain, lumbar spine is limited and sustained dull pain, as well as tuberculosis poisoning of fever, night sweats and other symptoms. X-ray, CT and MRI lesion T6, ~ T11, T6, in which the T71 cases; cases of the T8, T93, T9, T105 cases, T10, T116 cases. lesions involving the vertebral body 2 of 8 cases, involving the three vertebrae of five cases, involving four vertebrae 1 cases, 14 cases patients had vertebral bone destruction, vertebral instability, and some spinal cord compression which with paraplegia, Frankel grade A-level. absolute bed after admission, the preoperative application of 4-linked (isoniazid, rifampicin, streptomycin and ethambutol anti-TB treatment for 3 to 4 weeks until symptoms of systemic poisoning to improve , ESR and CRP decreased to normal after surgery. Surgical methods The composite endotracheal intubation and intravenous anesthesia, patients with lateral position, operative side. Skin incision along the scheduled removal of the ribs towards, where possible, the cut rib lesion center of a segment from the anterior axillary line to the the outer edge of the sacral spine muscle skin incision, subcutaneous, and the latissimus dorsi and then cut the serratus anterior muscle, the outer edge of the starting poin