目的探讨脊柱结核的临床特征及有效治疗方法。方法回顾性分析38例脊柱结核患者的临床资料。结果38例脊柱结核患者抗痨加手术治疗,治愈36例,治愈率达94.7%,1例胸椎结核并不全瘫患者大部分恢复,扶拐行走,1例颈椎结核并全瘫患者未恢复。结论应该强调脊柱结核的早期诊断,早期积极抗痨加手术病灶清除植骨融合术为有效的治疗手段。 Objective To investigate the clinical features and effective treatment of spinal tuberculosis. Methods The clinical data of 38 patients with spinal tuberculosis were retrospectively analyzed. Results Thirty-eight patients with spinal tuberculosis were treated with anti-tuberculous surgery and 36 cases were cured. The cure rate was 94.7%. One case of thoracic tuberculosis did not recover most of the patients with complete paralysis, walked crutches and one case of cervical tuberculosis with full paralysis did not recover. Conclusion The early diagnosis of spinal tuberculosis should be emphasized. Early active anti-tuberculosis combined with surgical resection and fusion is an effective treatment.