Albers W, Sühler H, Blümlein H
Fortschr Med. 1984 Oct 11;102(38):947-51.
The decrease in the incidence of tuberculosis may today readily result in a lack of attention being paid to the extrapulmonary forms of this disease in the differential diagnosis of bone changes. Today massive joint destruction can be prevented with the aid of anti-tuberculous chemotherapy, the early establishment of the diagnosis (for example arthrotomy) and surgical intervention (synovectomy or excision of focus, osteosynthesis). On the basis of our patients treated between 1947 and 1982 we describe the diagnostic and therapeutic procedures followed over the last decades. The results are discussed. Our present therapeutic concept is explained.
如今，结核病发病率的下降很可能导致在骨病变的鉴别诊断中，人们对这种疾病的肺外形式缺乏关注。如今，借助抗结核化疗、早期诊断的确立（如关节切开术）以及外科干预（滑膜切除术或病灶切除、骨固定术），可预防严重的关节破坏。基于我们在1947年至1982年间治疗的患者，我们描述了过去几十年所采用的诊断和治疗程序。对结果进行了讨论。阐述了我们目前的治疗理念。
