85%的脊柱结核伴有寒性脓肿形成,脊柱结核寒性脓肿是相当多的病人首诊的原因,亦是脊柱结核传统的手术指征之一。鉴于目前大部分书刊对这一问题未详细描述或是零散地分布在相关章节内,未能引起读者足够的重视,故本文拟对脊柱结核寒性脓肿的发生、发展、危害、转归、鉴别诊断、治疗原则等作一详细论述,将其来龙去脉彻底地弄清楚,以扩大临床医生的思维和视野,提高脊柱结核合并寒性脓肿诊断的准确率,避免误诊和随意切开,致治疗复杂化。 85% of the spinal tuberculosis with cold abscess formation, spinal tuberculosis cold abscess is a considerable number of patients the first diagnosis, is also one of the traditional surgical indications for spinal tuberculosis. In view of the fact that most books and periodicals do not describe this issue in detail or are scattered in relevant chapters and fail to pay enough attention to the readers, this paper intends to analyze the occurrence, development, harm, outcome and identification of the cold abscess of spinal tuberculosis. Diagnosis and treatment principles such as a detailed discussion of its context to thoroughly clarify in order to expand the clinician’s thinking and vision to improve the diagnosis of spinal tuberculosis complicated with cold abscess accuracy, to avoid misdiagnosis and free incision, resulting in the treatment of complications .