Jalleh R D, Kuppusamy I, Mahayiddin A A, Yaacob M F, Yusuf N A, Mokhtar A
National Tuberculosis Centre, Jalan Pahang, Kuala Lumpur.
Med J Malaysia. 1991 Sep;46(3):269-73.
We reviewed 31 cases (19 males and 12 females) of spinal tuberculosis seen at the National Tuberculosis Centre from 1985 to 1989. The mean age was 35.4 years. The predominant clinical feature was backache (90.3%), while neurological features were found in 30.9%. An elevated erythrocyte sedimentation rate (in 80.0%) and a positive Mantoux test (in 70.9%) served as useful investigations. Spinal x-ray was abnormal in all cases, the lumbar spine being most commonly involved. Bacteriological or histopathological confirmation was obtained in only 29.0% of cases. The mainstay of treatment was anti-tuberculous chemotherapy with surgery being performed in 41.9% of patients.
我们回顾了1985年至1989年期间在国家结核病中心诊治的31例脊柱结核病例（19例男性，12例女性）。平均年龄为35.4岁。主要临床特征为背痛（90.3%），而神经功能障碍特征见于30.9%的病例。红细胞沉降率升高（80.0%）和结核菌素试验阳性（70.9%）是有用的检查手段。所有病例的脊柱X线检查均异常，其中腰椎最常受累。仅29.0%的病例获得了细菌学或组织病理学确诊。治疗的主要方法是抗结核化疗，41.9%的患者接受了手术治疗。
