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采用经皮穿刺切吸病灶清除方法进行腰椎结核病灶清除,文献中鲜见报道。本院1994—1997年间治疗腰椎结核患者9例,对其中6例行此疗法,取得良好效果。初步总结报告如下。临床资料一、一般资料本组6例:男2例,女4例;年龄42~63岁;工人1例,农民5例。诊断:L_(1)结核1例,L_(2)3例,L_(3)例,L_(4),合并L_(5),者1例。合并不全瘫或下肢神经肌肉症状者5例;椎旁脓肿者4例;轻度病理性脱位者1例(L_(4)L_(5),双椎体受累)。全部病例经X线和CT观察椎体均有楔形变、不同程度的椎旁脓肿、死骨形成及椎间隙改变。所有病例实行门诊随访,时间12~35个月,平均21．5个月。
Percutaneous puncture and suction removal of lumbar tuberculosis lesions removal method rarely reported in the literature. 9 cases of lumbar tuberculosis patients were treated in our hospital from 1994 to 1997, of which 6 cases received this therapy and achieved good results. Preliminary summary report is as follows. Clinical data First, the general information The group of 6 patients: 2 males and 4 females; aged 42 to 63 years; 1 worker, 5 farmers. Diagnosis: L_ (1) tuberculosis in 1 case, L_ (2) in 3 cases, L_ (3) cases, L_ (4), combined L_ (5), and 1 case. 5 cases with incomplete paraplegia or lower extremity neuromuscular symptoms; 4 cases with paravertebral abscess; 1 case with mild pathological dislocation (L_ (4) L_ (5), double vertebral body involvement). All cases were observed by X-ray and CT vertebral wedge deformation, varying degrees of paravertebral abscess, the formation of sequestrum and changes in intervertebral space. All cases were out-patient follow-up, time 12 to 35 months, an average of 21.5 months.