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目的：探讨手术治疗胸椎结核的更好方法。方法：自１９９０ 年以来， 对２ １ 例胸椎结核导致脊柱不稳的患者，应用病灶清除， 哈氏棒内固定，椎间及椎板植骨的手术方法。本组平均３ ３２ 岁。胸７椎体６ 例；胸８ 椎体８ 例，胸１０ 椎体７ 例，椎体压缩＜ １／２ 椎体高度１３ 例，＞ １／２ 椎体高度８ 例，并不全瘫１４ 例，手术中先行病灶清除，然后哈氏棒内固定，撑开后再次清除病灶，取肋骨和髂骨行椎间及椎板上植骨。术后化疗１２ ～１５ 月，结果：随访１８ 例，全部治愈，植骨愈合，不全瘫完全恢复１０ 例，大部分恢复４ 例。结论：病灶清除，哈氏棒内固定，同时植骨，及时重建脊椎稳定，植骨块固定稳固，易于愈合。
Objective: To explore a better method of surgical treatment of thoracic tuberculosis. Methods: Twenty-one patients with spinal instability caused by thoracic vertebral tuberculosis were treated with lesion clearance, Hastelloy rod fixation, intervertebral and laminar bone graft procedures since 1990. This group average 33.2 years old. Chest 7 vertebra 6 cases; 8 cases of chest 8 vertebra, chest 10 vertebra 7 cases, vertebral compression <1/2 vertebral height in 13 cases,> 1/2 vertebral height in 8 cases, not all paralysis in 14 cases, Surgical removal of the lesion first, and then Hastell stick fixed, propped again after removal of the lesion, and rib and iliac grafting intervertebral and lamina. Postoperative chemotherapy 12 to 15 months, the results: 18 cases were followed up, all cured, bone healing, incomplete recovery fully recovered in 10 cases, most of the recovery in 4 cases. Conclusion: The lesions were cleared, Hastell stick was fixed at the same time, bone graft was reconstructed at the same time, and the spine was stable. The bone graft was stable and easy to heal.