Qualitative diagnosis and therapeutic strategy of atlanto-axial tuberculosis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 409-411, 2007.
Artigo
em Chinês
| WPRIM
| ID: wpr-342157
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the qualitative diagnosis method of atlanto-axial tuberculosis and the corresponding therapeutic strategy.</p><p><b>METHODS</b>Twenty-two cases with atlanto-axial tuberculosis proven by histopathologic diagnosis were observed. Three cases and 17 cases underwent trans-oral biopsy and CT-guide percutaneous biopsy respectively, 2 cases were conformed by frozen section in operation. Thirteen of the 22 cases underwent surgical therapy 1 case with anterior trans-oral radical eradication and fusion under Halo-vest immobilization, 7 cases with anterior cervical radical eradication, 1 case with anterior interbody fusion and titanic plate fixation, 2 cases were with posterior atlantoaxial interlaminar fusion and 2 cases with posterior cervical occipito-axial titanic plate internal fixation and fusion. Other 9 cases accepted nonsurgical therapy 8 cases with Halo-vest immobilization and 1 case with head halter traction. All cases were given appropriate antituberculotic chemotherapy for 12-18 months.</p><p><b>RESULTS</b>All of the 22 cases were followed up, and the average time was 37 month. The lesion focus showed reparation and fusion in X-ray, and the results were satisfactory.</p><p><b>CONCLUSIONS</b>Biopsy can acquire the qualitative diagnosis on atlanto-axial tuberculosis. The choice of therapy is made on the situation of cold abscess, pathological fracture, atlanto-axial dislocation and spinal cord compression.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Patologia
/
Articulação Atlantoaxial
/
Fusão Vertebral
/
Terapêutica
/
Tuberculose da Coluna Vertebral
/
Biópsia por Agulha
/
Seguimentos
/
Usos Terapêuticos
/
Diagnóstico
/
Fixação Interna de Fraturas
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Adolescente
/
Adulto
/
Criança
/
Criança, pré-escolar
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2007
Tipo de documento:
Artigo
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