目的 :探讨胸腰段结核的手术治疗 ,以提高胸腰段结核的手术治愈率。方法 :1991年 1月至 1999年 1月 ,我院共实施胸腰段结核手术 34例 ,其中前路病灶清除兼椎间植骨融合术 32例 ,后路病灶清除并横突间植骨融合术 2例。结果 :术后对所有病人进行了 0 .5～ 6 .5年 ,平均 3.5年的随访 ,手术优良率为 94.1%。结论 :多数胸腰段结核适合于前路病灶清除术 期椎间植骨融合术 ,部分可以选用后路病灶清除并 期横突间植骨融合术 ,手术效果均满意 Objective: To explore the surgical treatment of thoracolumbar tuberculosis in order to improve the surgical cure rate of thoracolumbar tuberculosis. Methods: From January 1991 to January 1999, a total of 34 cases of thoracolumbar tuberculosis were performed in our hospital. Thirty-two cases of anterior lesion clearance and interbody fusion were performed. The posterior lesion was cleared and interbody fusion was performed Surgery in 2 cases. Results: All patients were followed up for 0.5-6.5 years with an average of 3.5 years of follow-up. The excellent and good rate of operation was 94.1%. Conclusions: Most thoracolumbar tuberculosis is suitable for anterior interbody fusion in the treatment of anterior debridement, and some of them can be used in the treatment of posterior fossa debridement and interphalangeal fusion. The surgical results are satisfactory