Richter-Turtur M, Thetter O, Raub H, Häussinger K, Schweiberer L
Chirurgische Klinik und Poliklinik, Universität München.
Unfallchirurg. 1993 Apr;96(4):192-9.
In developing countries tuberculosis of the bones and joints is a disease with an endemic character. In industrialized nations it is also gaining importance again as a result of social problems and of cases of immune deficiency. After the bacteriologic/histologic diagnosis of tuberculosis of the bones and joints, the primary therapy is non-operative with immobilization and antituberculous chemotherapy. Nevertheless, there are indications when an abscess and arthrodesis or spondylodesis must be cleaned operatively. An absolute and urgent indication for operative cleansing and stabilization is acute progressive paraplegia.
在发展中国家，骨与关节结核是一种具有地方病特征的疾病。在工业化国家，由于社会问题和免疫缺陷病例，它的重要性也再次凸显。在对骨与关节结核进行细菌学/组织学诊断后，主要治疗方法是非手术治疗，包括固定和抗结核化疗。然而，在某些情况下，必须通过手术清理脓肿并进行关节融合术或脊柱融合术。急性进行性截瘫是手术清理和稳定的绝对紧急指征。
