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目的 :探讨胸椎结核病变治愈型截瘫与后凸畸形的关系及其预防和治疗方法。方法 :分析 2 0例胸椎结核病变治愈型截瘫患者的临床资料和 17例患者手术治疗的资料。结果 :2 0例病变治愈型截瘫患者的Cobb角在 30°以上者占 95 %。 17例经椎管侧前方减压治疗 ,术后截瘫恢复率达 70 5 %。结论 :胸椎结核病变治愈型截瘫与椎体骨质缺损塌陷所引起的后凸畸形角度大小有直接关系。手术减压是目前治疗病变治愈型截瘫的唯一方法
Objective: To investigate the relationship between the treatment of paraplegia and kyphosis of thoracic tuberculosis and its prevention and treatment. Methods: The clinical data of 20 patients with thoracic tuberculosis who had cured paraplegia and the data of surgical treatment in 17 patients were analyzed. Results: The Cobb angle of 20 patients with lesions of paraplegia was above 30 °, accounting for 95%. Seventeen patients underwent transvaginal anterior decompression, and paraplegic recovery rate was 70.5%. Conclusions: There is a direct relationship between the degree of kyphosis caused by collapsed paraplegia of thoracic tuberculosis and vertebral collapse. Surgical decompression is currently the only way to cure paralyzed lesions