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目的 :总结脊柱结核诊治不当原因。方法 :回顾分析 10年来本院收治的 12 5例脊柱结核患者的诊断与治疗资料 ,并对其诊治不当的原因进行分析。结果 :延误和误诊 7例 (占 5 6 % ) ,规范抗痨治疗 85例中结核复发 3例(3 5 2 % ) ;不规范抗痨治疗 40例中结核复发 5例 (12 5 % )。手术方法不当 5例 ,占手术例数 13 1% (5 / 38) ,术后护理不当 2例 ,占 5 2 % (2 / 38)。结论 :脊柱结核容易引起误诊误治 ,手术及护理方法不当会影响治疗效果 ,应提高认识 ,及早诊治 ,加强规范的抗痨治疗工作 ,选择正确的手术方式 ,加强术后护理。
Objective: To summarize the causes of improper diagnosis and treatment of spinal tuberculosis. Methods: The data of diagnosis and treatment of 125 cases of spinal tuberculosis treated in our hospital over the past 10 years were retrospectively analyzed. The causes of the improper diagnosis and treatment were analyzed. Results: Delayed or misdiagnosed 7 cases (56%), normotensive treatment of 85 cases of tuberculosis recurrence in 3 cases (352%); nonstandard anti-tuberculosis treatment 40 cases of tuberculosis recurrence in 5 cases (125%). Five cases were improperly operated, accounting for 13.1% (5/38) of the cases and 2 cases (52/52) of the poor postoperative care. Conclusions: Spinal tuberculosis is easy to cause misdiagnosis and mistreatment. Improper operation and nursing methods will affect the therapeutic effect. Awareness should be raised and early diagnosis and treatment should be strengthened. Standardized anti-tuberculosis treatment should be strengthened. Correct operation should be selected to enhance postoperative care.