Kovalenko K N
Probl Tuberk. 1994(3):27-9.
The paper covers the past 10 years' experience in the surgical treatment of children with various osteoarticular tuberculosis types. A total of 456 children aged 10 months to 16 years were studied. The author used a system of radical corrective and reconstructive osteoplastic operations in restrictive and disseminated diseases, which had been developed with regards for age-specific features of the abnormality. In addition to radical removal of inflammatory foci, the system provides for obligatory restoration of reconstruction of the diseased joint or spine, which has a favourable influence on the further development of a child's skeleton. Successful therapy and good functional results were achieved in 100% of children with focal bone lesions, in 98.5% of those with tuberculous spondylitis, and in 84.6% with large joint tuberculosis.
本文涵盖了过去10年中对各种类型儿童骨关节结核进行手术治疗的经验。共研究了456名年龄在10个月至16岁之间的儿童。作者采用了一套根治性矫正和重建性骨成形手术系统，用于治疗局限性和播散性疾病，该系统是根据异常情况的年龄特异性特征开发的。除了彻底清除炎症病灶外，该系统还规定必须对患病关节或脊柱进行重建修复，这对儿童骨骼的进一步发育有有利影响。在患有局灶性骨病变的儿童中，100%取得了成功治疗和良好的功能结果；在患有结核性脊柱炎的儿童中，98.5%取得了成功；在患有大关节结核的儿童中，84.6%取得了成功。
