关键词: 结核,脊柱/外科学, 外科手术,选择性

Abstract: Objective  To explore the perioperative management, the surgical techniques and operation time of classic debridement surgery in the treatment of complex and compound spinal tuberculosis, in order to reduce the complications of these patients.  Methods  Clinical effects of 104 patients with complex and compound spinal tuberculosis of classic debridement surgery were retrospectively analyzed.  Results  The 104 patients had no death and serious complications with heart,lung or kidney. Among the 104 patients, 90 cases were performed for the first surgery, in which postoperative primary healing rate was 91%(82/90), the left 8 cases were healed after dressing and drainage, not for a second surgery on the same side. The 14 cases from the other hospital (referring to the third hospital) were healed. The lesions were removed through debridement in the opposite line, the sinus tract of the original knife-edge line were healed by resection. ESR of all the patients was normal after 3 months. X-ray showed that 65 cases had vertebral bone fusion, 39 had fiber fusion. All the patients were clinically healed and had no recurrence of tuberculosis at the follow-up for 2 years, and X-ray showed that all patients had vertebral bone fusion. Conclusion  Carefully treating the patients with complex and compound spinal tuberculosis, exactly handling the surgical opportunity and surgical technique on the basis of antituberculosis chemotherapy, we can achieve satisfactory results with classic debridement surgery.

Key words: Tuberculosis,spinal/surgery, Surgical procedures,elective