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脊柱结核的治疗应遵循个体化综合治疗原则 被引量：33

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摘要 近十余年来，随着治疗理念的进步和手术方式的改进，脊柱结核的治疗效果大大提高。但目前国内对脊柱结核的治疗原则、手术适应证、手术时机、术式选择、化疗方案的制定等仍存争议。目前脊柱结核治疗中存在的主要问题包括：（1）结核分枝杆菌和非结核分枝杆菌及其他细菌引起的脊柱感染鉴别困难；（2）抗结核用药、化疗疗程针对性不强；（3）复治、复发、耐药病例的治疗不规范；（4）手术指征、手术时机选择、围手术期处理不规范；（5）手术方法、内固定应用未能个体化；（6）疗效评估、停药指标、治愈标准不一。
作者 马远征
机构地区 解放军总医院第二附属医院骨科
出处 《中华外科杂志》 CAS CSCD 北大核心 2007年第18期1227-1229,共3页 Chinese Journal of Surgery
关键词 综合治疗原则 脊柱结核 个体 非结核分枝杆菌 手术时机选择 围手术期处理 化疗方案 手术适应证
分类号 R687.3 [医药卫生—骨科学]
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参考文献8

  • 1马远征,胡明,才晓军,陈兴,李宏伟,隰建成,薛海滨.脊柱结核外科治疗的探讨[J].中华骨科杂志,2005,25(2):68-73. 被引量：178
  • 2Swanson AN, Pappou IP, Cammisa FP, et al. Chronic infections of the spine: surgical indications and treatments. Clin Orthop Relat Res, 2006, 444 : 100-106.
  • 3Christodoulou AG, Givissis P, Karataglis D, et al. Treatment of tuberculous spondylitis with anterior stabilization and titanium cage. Clin Orthop Relat Res, 2006,444: 60-65.
  • 4Talu U, Gogus A, Ozturk C, et al. The role of posterior instrumentation and fusion after anterior radical debridement and fusion in the surgical treatment of spinal tuberculosis: experience of 127 cases. J Spinal Disord Tech, 2006,19:554-559.
  • 5Lee SH, Sung JK, Park YM. Single-stage transpedicular decompression and posterior instrumentation in treatment of thoracic and thoracolumbar spinal tuberculosis: a retrospective case series. J Spinal Disord Tech, 2006,19:595-602.
  • 6Wang B, Ozawa H, Tanaka Y, et al. One-stage lateral rhachotomy and posterior spinal fusion with compression hooks for Pott's paralysis in the elderly. J Orthop Surg (Hong Kong), 2006,14:310-314.
  • 7Kotil K, Alan MS, Bilge T. Medical management of Pott disease in the thoracic and lumbar spine: a prospective clinical study. J Neurosurg Spine, 2007, 6:222-228.
  • 8王自立,金卫东,乔永东,丁惠强,赵浩宁,蔺志凯,陈军,杨伟宇.超短程化疗方案及病变椎体部分切除术治疗脊柱结核[J].中华骨科杂志,2005,25(2):79-85. 被引量：71

二级参考文献30

  • 1全国肺结核短化协作组.肺结核短程化疗的研究[J].中华结核和呼吸疾病杂志,1982,5:78-78.
  • 2World Health Organization. World health report 2000. Health systems: improving performance.Geneva: WHO, 2000.
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  • 7Controlled trial of short-course regimens of chemotherapy in the ambulatory treatment of spinal tuberculosis. Results at three years of a study in Korea. Twelfth report of the Medical Research Council Working Party on Tuberculosis of the Spine. J Bone Joint Surg(Br),1993,75: 240-248.
  • 8Parthasarathy R, Sriram K, Santha T, et al. Short-course chemotherapy for tuberculosis of the spine. A comparison between ambulant treatment and radical surgery-ten-year report. J Bone Joint Surge (Br), 1999,81: 464-471.
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共引文献231

同被引文献315

引证文献33

二级引证文献263

中华外科杂志
2007年 第18期

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