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[脊柱炎治疗后的长期结果]

[Long-term results following treatment of spondylitis].

作者信息

Richter-Turtur M, Schmidt-Ramsin E, Ritter H P, Raup H

机构信息

Chirurgische Klinik Innenstadt der Universität München.

出版信息

Pneumologie. 1990 Feb;44 Suppl 1:480-1.

PMID:2367441
Abstract

The preliminary results of a follow-up examination of patients with spondylitis are presented. The 127 patients concerned comprised 94 specific and 33 nonspecific cases. With the combination of conservative treatment (immobilisation, chemotherapy) and surgery (excision of an abscess, chip spondylodesis), all but two of the infections (one progressive infection, one recurrence) proved manageable. At the time of the follow-up examination, bony reorganisation had occurred in all but 8 cases. But also the segments in which bony reorganisation had not yet taken place, were functionally stable. Despite the good physical results of treatment, the social impairment due to the disease remained considerable. The results obtained compare well with those reported in the literature (2).

摘要

本文展示了脊柱炎患者随访检查的初步结果。127例相关患者包括94例特异性病例和33例非特异性病例。通过保守治疗(固定、化疗)与手术(脓肿切除、碎骨融合术)相结合,除两例感染(一例进行性感染、一例复发)外,其他感染均得到控制。在随访检查时,除8例患者外,其余患者均出现了骨质重建。而且,尚未发生骨质重建的节段功能也稳定。尽管治疗取得了良好的身体效果,但疾病导致的社会功能障碍仍然相当严重。所获得的结果与文献报道的结果(2)相当。

相似文献

1
[Long-term results following treatment of spondylitis].[脊柱炎治疗后的长期结果]
Pneumologie. 1990 Feb;44 Suppl 1:480-1.
2
Comparison of anterior instrumentation systems and the results of minimum 5 years follow-up in the treatment of tuberculosis spondylitis.前路内固定系统治疗脊柱结核的比较及至少5年的随访结果
Kobe J Med Sci. 2004;50(5-6):167-80.
3
Outcome and management of spinal tuberculosis according to the severity of disease: a retrospective study of 137 adult patients at Korean teaching hospitals.根据疾病严重程度分析脊柱结核的治疗结果及管理:对韩国教学医院137例成年患者的回顾性研究
Spine (Phila Pa 1976). 2007 Feb 15;32(4):E130-5. doi: 10.1097/01.brs.0000255216.54085.21.
4
[Tuberculosis of bones and joints].[骨与关节结核]
Unfallchirurg. 1993 Apr;96(4):192-9.
5
[Chronic spondylogenic pain syndrome--tb-spondylitis?].[慢性脊柱源性疼痛综合征——结核性脊柱炎?]
Schweiz Rundsch Med Prax. 1994 Apr 26;83(17):519-24.
6
[Surgical treatment of patients with active tuberculous spondylitis].
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7
One-stage surgical management for multilevel tuberculous spondylitis of the upper thoracic region by anterior decompression, strut autografting, posterior instrumentation, and fusion.一期手术治疗上胸椎多节段结核性脊柱炎,采用前路减压、自体支撑植骨、后路内固定及融合术。
J Spinal Disord Tech. 2007 Jun;20(4):263-7. doi: 10.1097/01.bsd.0000211281.68400.1b.
8
[Tuberculosis of the spine--surgical treatment].[脊柱结核——外科治疗]
Ryoikibetsu Shokogun Shirizu. 1999(24 Pt 2):184-7.
9
[Treatment strategy in tuberculous spondylitis: long-term follow-up results of 55 patients].
Acta Orthop Traumatol Turc. 2008 Nov-Dec;42(5):334-43.
10
[Spinal tuberculosis and its surgical treatment].[脊柱结核及其外科治疗]
Med Sestra. 1986 Sep;45(9):28-30.