Lin Y, Guan B, Wu Q
Beijing Tuberculosis and Thoracic Tumour Institute, Beijing 101149.
Zhonghua Jie He He Hu Xi Za Zhi. 1998 Feb;21(2):88-90.
To explore characteristics of thoracolumbar tuberculosis complicated with paraplegia, relationship between efficacy and approach of operation, and to discuss indication and applicability of conservative treatment.
Forty-eight cases with thoracolumbar tuberculosis complicated with paraplegia were classified into two groups. Thirty-two cases in the operational group were treated with extrapleural, extraperitoneal approach and transpleural, extraperitoneal approach. Sixteen cases in the nonoperational group were treated conservatively.
The recovered cases in the operational and the nonoperational groups respectively accounted for 75% and 88%.
Thoracolumbar tuberculosis complicated with paraplegia can be cured by either operative or conservative treatment, and the efficacy of operation directly related with operational approach.
探讨胸腰椎结核合并截瘫的特点、手术疗效与手术方式的关系，以及保守治疗的适应证和适用性。
将48例胸腰椎结核合并截瘫患者分为两组。手术组32例采用胸膜外、腹膜外入路及经胸、腹膜外入路治疗。非手术组16例采用保守治疗。
手术组和非手术组的恢复病例分别占75%和88%。
胸腰椎结核合并截瘫可通过手术或保守治疗治愈，手术疗效与手术方式直接相关。
