【摘要】 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 脊柱结核的发病率仍较高，早期确诊困难，抗痨加病灶清除术仍是主要治疗方法。结论 应该强调脊柱结核的早期诊断，联合应用多种诊断方法有助于非典型病例的诊断，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。

    关键词 脊柱结核 早期诊断 治疗

    Clinical Analysis of38cases of spine tuberculosis

    Huang Jianjun，Shi Ying

    Medical College，Jishou University，Jishou416000.

    【Abstract】 Objective To discuss the clinical characteristics and effective treatment of spinal tuberculosis.Methods Retrospective analysis of the clinical data of38cases of spinal tuberculosis.Results The incidence rate of spinal tuberculosis is still high.Early diagnosis is difficult，this disease is still treated mainly by ablation.Concluˉsion The early diagnosis of spinal tuberculosis should be emphasized，combined use of different means of diagnostic technique would help to assess the diagnosis of spinal tuberculosis especially in atypical cases.Chemiotherapy and abˉlation used combinedly would make satisfactory outcome.

    Key words spinal tuberculosis early diagnosis therapy

    脊柱结核是椎体感染结核杆菌造成的一种破坏性骨关节病 ......