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我院自1980年1月至1995年12月对6813例脊柱结核施行手术治疗，经随访观察有108例（占1．6％）需再次住院施行手术，其中男46例，女62例，平均年龄27对岁．本组108例再次手术病例：胸椎25例，胸腰段17例，腰椎61例，腰骶5例，复发病例临床表现为形成切口下脓肿，窦道或形成新的病灶等，X线表现病灶内有未清除之死骨，椎旁阴影或腰大脱阴影增宽等．二次治疗主要在规范化疗后再次手术，彻底进行病灶清除术，经平均52个月随访观察，全部临床治愈，恢复了劳动能力．根据108例需再次住院施行手术者应引以为戒的是：①初次手术病人，由于生活、医疗水平较低，在准备条件不足情况下进行手术，致使病灶不稳定而术后复发，②医务人员水平不一，只强调手术而忽视结核病的整体治疗原则，在未做准备下进行手术致术后复发．③复发者多由于术后过早停药，未进行系统抗结核治疗，此种情况共36例，占33．3％.④术者营养差者27例；卧床不足3个月者21例．过早活动，在脊柱稳定性尚未建立情况下即活动，易于复发，此种情况14例,占12.9％。
In our hospital from January 1980 to December 1995 6813 cases of spinal tuberculosis surgery, follow-up observation of 108 cases (1.6%) to be hospitalized again, including 46 males and 62 females, with an average Age 27 years old. The group of 108 cases of reoperation cases: 25 cases of thoracic, thoracolumbar in 17 cases, 61 cases of lumbar, lumbosacral 5 cases, the clinical manifestations of recurrence of the formation of incision abscess, sinus or the formation of new lesions, X-ray lesions There are not clear the sequestrum, paravertebral shadow or waist shadow widening and so on. Secondary treatment is mainly in the re-operation after standard chemotherapy, thorough debridement, the average 52-month follow-up observation, all clinical cure, restored the ability to work. According to 108 cases need to be rehospitalized surgery should be taken as a warning: ① first surgery patients, due to life, medical level is lower, in the case of inadequate preparation for surgery, resulting in instability and postoperative recurrence of the disease, ② medical Staff levels vary, emphasizing surgery and neglect of the overall treatment of tuberculosis principle, in the absence of preparation for surgery caused by recurrence. ③ relapse were mostly due to premature withdrawal after surgery, no systemic anti-TB treatment, such a total of 36 cases, accounting for 33.3% .④ Surgery patients with poor nutrition in 27 cases; bedridden less than 3 months in 21 cases. Premature activity, activity in the spine stability has not yet established, easy to relapse, such cases 14 cases, accounting for 12.9%.