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中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (4): 377-382.doi: 10.3969/j.issn.1000-6621.2019.04.003

所属专题: 标准、共识、指南

• 专家共识 • 上一篇    下一篇

耐药脊柱结核临床诊疗专家共识

《耐药脊柱结核临床诊疗专家共识》编写组   

  1. 中国防痨协会临床专业分会骨结核专业委员会;华北骨结核联盟;《中国防痨杂志》期刊社
  • 收稿日期:2019-03-09 出版日期:2019-04-10 发布日期:2019-04-08
  • 基金资助:
    北京市科技计划课题(D141107005214002)

Expert consensus on diagnosis and treatment of drug-resistant spinal tuberculosis

consensus on diagnosis and treatment of drug-resistant spinal tuberculosis writing group Expert   

  1. Professional Committee of Bone and Joint Tuberculosis of Chinese Anti-tuberculosis Association;North China Bone Tuberculosis Union;Chinese Journal of Antituberculosis
  • Received:2019-03-09 Online:2019-04-10 Published:2019-04-08

摘要:

耐药结核病是目前结核病治疗领域的难点,脊柱结核是一种常见的肺外继发性结核病,耐药问题严重影响脊柱结核患者的治疗效果和预后。本专家共识简要介绍了耐药脊柱结核的定义和流行病学;指出耐药脊柱结核的诊断标准和方法;提出了抗结核治疗方案制定,手术时机和手术方法的选择等方面的建议;对耐药脊柱结核的未来研究方向进行了展望。

关键词: 结核, 脊柱, 结核, 抗多种药物性, 诊断技术和方法, 外科手术, 选择性, 综合疗法, 临床方案

Abstract:

Drug-resistant tuberculosis is a difficult problem in the field of TB treatment.Spinal tuberculosis is a common extrapulmonary secondary tuberculosis. Drug resistance seriously affects the therapeutic effect and prognosis of spinal tuberculosis.This expert consensus provides a brief introduction to the definition and epidemiology of drug-resistant spinal tuberculosis, proposes the diagnostic criteria and methods of drug-resistant spinal tuberculosis, puts forward some suggestions on the formulation of anti-tuberculosis treatment, the choice of surgical timing and surgical methods, prospects the research development of drug-resistant spinal tuberculosis in the future.

Key words: Tuberculosis, spinal, Tuberculosis, multidrug-resistant, Diagnostic techniques and procedures, Surgical procedures, elective, Combined modality therapy, Clinical protocols