目的 探讨前路一期病灶清除联合植骨融合内固定治疗胸椎及胸腰段脊柱结核合并不全瘫痪的治疗效果.方法 对16例胸椎及胸腰段脊柱结核并脊髓损伤致不完全瘫痪的患者经胸或胸腹前路行一期病灶清除、椎间肋骨(钛网)植骨、椎体行内固定术.术后正规四联化疗方案治疗.结果 患者切口均一期愈合.16例均获随访,时间12 ～60个月.植骨部分融合时间为3～8个月,到末次随访时植骨全部融合.后凸畸形明显改善.无钛网移位及内固定松动发生.结论 经胸及胸腹前路一期病灶清除联合肋骨(钛网)植骨及内固定治疗胸椎及胸腰段脊柱结核合并不全瘫痪疗效满意.%Objective To explore the effect of one-stage anterior debridement, bone grafting and internal fixation of thoracic and thoracolumbar spinal tuberculosis with incomplete paralysis. Methods 16 cases of thoracic and thoracolumbar spinal tuberculosis and spinal cord injury with incomplete paralysis patients were undergone anterior debridement , interbody rib (titanium wheel) bone graft, and posterior lumbar vertebrae fixation.Chemotherapy was performed postoperatively. Results 16 cases were followed up for 12～60 months. The incision was healed with bone fusion time of 3～8 months. Kyphosis was significantly improved. No titanium mesh shift and loosening occurred. Conclusions Transthoracic or thoracoabdominal anterior lesions clearance and ribs (titanium mesh) bone graft and internal fixation in the treatment of thoracic or thoracolumbar spinal tuberculosis with incomplete paralysis results are satisfactory.
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