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脊柱结核:诊断与治疗的当前观点

Tuberculosis of spine: current views in diagnosis and management.

作者信息

Moon Myung-Sang

机构信息

Department of Orthopedic Surgery, Cheju Halla General Hospital, Jeju, Korea. ; Moon-Kim's Institute of Orthopedic Research, Seoul, Korea.

出版信息

Asian Spine J. 2014 Feb;8(1):97-111. doi: 10.4184/asj.2014.8.1.97. Epub 2014 Feb 6.

Abstract

Tuberculosis is the chronic consumptive disease and currently the world's leading cause of death. Tuberculous spondylitis is a less common yet the most dangerous form of skeletal tuberculosis. The recent re-emergence of Mycobacterium tuberculosis (M. tuberculosis) hints at a possible resurgence of tuberculosis in the coming years. This article discusses the clinical manifestations, diagnosis and treatment of tuberculous spondylitis, and updates material that the author has previously published on the subject. Treatment should be individualized according to different indications which is essential to recovery. A treatment model is suggested on the basis of the author's vast personal experiences.

摘要

结核病是一种慢性消耗性疾病,目前是全球主要死因。脊柱结核是骨骼结核中一种较罕见但最危险的类型。近年来结核分枝杆菌(M. tuberculosis)的再度出现暗示着未来几年结核病可能会卷土重来。本文讨论了脊柱结核的临床表现、诊断和治疗,并更新了作者之前发表的关于该主题的资料。治疗应根据不同指征个体化进行,这对康复至关重要。基于作者丰富的个人经验,提出了一种治疗模式。

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