on the classification of bone and joint tuberculosis treatment（骨和关节结核病治疗的分类）.docVIP

On the classification of bone and joint tuberculosis treatment [Keywords:] bone and joint tuberculosis treatment tuberculosis Bone and joint tuberculosis occur in children and adolescents, is a secondary disease, the primary lesions of tuberculosis or gastrointestinal tuberculosis. Predilection sites are the spine, followed by the knee, hip and elbow. A spinal tuberculosis Spinal Tuberculosis tuberculosis accounted for the first joints to the majority of vertebral tuberculosis, accessories tuberculosis is very rare. The highest incidence of spinal tuberculosis, followed by thoracic, cervical spine more times. More common in pediatric patients. [Pathology] Vertebral tuberculosis can be divided into two kinds of center-and edge. 1 centered vertebral tuberculosis more common in children under the age of 10, occur in the thoracic spine. Disease progression, the entire vertebral body is compressed into a wedge. Generally a violation of the vertebral body, disc and also involving the adjacent vertebral body through. (2) borderline vertebral tuberculosis more common in adults, lumbar spine for the good site. Lesions confined to the upper and lower edge of the vertebral body, disc and quickly abused to the adjacent vertebral body. Disc damage is characteristic of the disease, which is disc space is narrow. After the destruction of vertebral cold abscess formation can be in two forms: ① paraspinal abscess. ② flow injection abscess, for example: under Qu due to lumbar vertebral and paraspinal abscess can form a psoas abscess, iliac fossa abscess, lumbar triangle abscess, groin deep abscess, even in the thigh, knee and other parts. [Clinical] 1 slow onset with fever, night sweats, and anemia and other systemic symptoms. 2 Pain is the first symptoms of cervical tuberculosis addition to neck pain, there are hemp and other upper extremity nerve root irritation of the performance there pharyngeal abscess hinder breathing and sw