目的 :探讨胸椎结核的外科治疗方法 ;方法 :对 76例胸椎结核患者行经胸腔病灶清除自体肋骨椎体间植骨融合 ,同时对其中合并截瘫的 3 2例患者行前外侧椎管减压 ;结果 :随访 71例 ,平均矫正后凸畸形 8 ～ 1 0 ,截瘫完全恢复功能 2 8例 ,占所有截瘫随访患者中的 87.5 % ,所有病例无结核复发 ;结论 :该手术方法操作简单 ,对脊柱稳定破坏较小 ,减压彻底 ,截瘫恢复率高 ,远期疗效显著 ,是治疗胸椎结核的可取之法。 Objective: To investigate the surgical treatment of thoracic tuberculosis. Methods: Thirty-six patients with thoracic tuberculosis were treated with thoracic lesions to clear the autograft interbody fusion. Three 32 patients with paraplegia underwent anterolateral lateral decompression. Results : Follow-up was performed in 71 cases, average correction of kyphotic deformity was 8 ~ 10, complete recovery of paraplegia was 28, accounting for 87.5% of all patients with paraplegia, all cases had no recurrence of tuberculosis. Conclusion: The operation method is simple and stable Less damage, complete decompression, paraplegia recovery rate, long-term effect is significant, is the preferred method of treatment of thoracic tuberculosis.