中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (12): 1343-1348.doi: 10.3969/j.issn.1000-6621.2020.12.018
收稿日期:
2020-05-15
出版日期:
2020-12-10
发布日期:
2020-12-24
通信作者:
买尔旦·买买提
E-mail:mardanmmtmx@163.com
Maimaitiaili· Abudurexiti, Maierdan· Maimaiti()
Received:
2020-05-15
Online:
2020-12-10
Published:
2020-12-24
Contact:
Maierdan· Maimaiti
E-mail:mardanmmtmx@163.com
摘要:
虽然化脓性脊柱炎是一种罕见的感染性疾病,但随着老年人和免疫功能低下患者的增多,其发病率也在增加。其诊断通常很困难,适当的影像学、血培养或活组织检查是早期诊断的必要条件。大多数患者可以采用非手术治疗,脊髓或马尾压迫伴进行性神经功能缺损的患者或保守治疗失败的患者应接受手术治疗。由于化脓性脊柱炎的非特异性临床发作易与脊柱结核及布鲁杆菌性脊柱炎、退行性疾病等混淆,误诊漏诊率较高,容易导致患者脊柱畸形、神经功能受损、瘫痪,甚至死亡。因此,化脓性脊柱炎的早期、准确诊断对于及时有效的治疗及减少脊柱畸形和功能障碍的发生具有重要意义。
麦麦提艾力·阿卜杜热西提, 买尔旦·买买提. 化脓性脊柱炎的临床特征、鉴别诊断及治疗进展[J]. 中国防痨杂志, 2020, 42(12): 1343-1348. doi: 10.3969/j.issn.1000-6621.2020.12.018
Maimaitiaili· Abudurexiti, Maierdan· Maimaiti. The clinical diagnosis and treatment of pyogenic spondylitis and the differential diagnosis of atypical spinal tuberculosis[J]. Chinese Journal of Antituberculosis, 2020, 42(12): 1343-1348. doi: 10.3969/j.issn.1000-6621.2020.12.018
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