脊柱结核早期诊断标准的初步探讨

发布时间：2018-01-19 12:15

本文关键词： 脊柱结核早期诊断诊断标准　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:初步探讨脊柱结核早期诊断的标准。为脊柱结核的临床诊断提供理论依据。方法:在本研究团队现有的研究结果基础上,指定20名临床实践经验丰富,在脊柱结核方面有一定的研究基础,发表过骨与关节结核相关的文章骨科专家,做出诊断标准的相关要素的列表。根据我们的纳入标准和排除标准调出新疆医科大学第一附属医院110例临床诊断的脊柱结核病例,并分别计算这些相关因素的重要性;根据诊断要素在病例中出现频率大小进行排序,频数表进行统计学分析。结果:脊柱结核的早期最常出现的临床表现是局部压痛、叩击痛、椎旁脓肿、血沉增高、椎间隙变窄、死骨形成、骨质破坏。其中结核肉芽肿形成是通过手术进行的金标准;而其余为次要标准。结论:脊柱结核早期初步诊断标准为:椎间隙狭窄、骨质破坏、椎旁脓肿、颠簸痛、死骨形成、血沉增高及局部活动受限等,这些指标可助于临床上早期诊断脊柱结核。此结果对于脊柱结核早期的临床诊断具有重要指导意义。
[Abstract]:Objective: to explore the criteria for the early diagnosis of spinal tuberculosis and to provide theoretical basis for the clinical diagnosis of spinal tuberculosis. There is a certain basis for research on spinal tuberculosis and has published articles related to bone and joint tuberculosis orthopedic experts. According to our inclusion criteria and exclusion criteria, 110 clinically diagnosed cases of spinal tuberculosis were collected from the first affiliated Hospital of Xinjiang Medical University. And calculate the importance of these related factors; Results: the most common clinical manifestations of spinal tuberculosis were local tenderness, percussion pain, paravertebral abscess. ESR increased, intervertebral space narrowed, dead bone formation, bone destruction, in which tuberculous granuloma formation is the gold standard through surgery; Conclusion: the early diagnostic criteria for spinal tuberculosis are spinal space stenosis, bone destruction, paravertebral abscess, bumpy pain, dead bone formation, increased erythrocyte sedimentation rate and limited local activity. These indexes may be helpful to the early diagnosis of spinal tuberculosis, which is of great significance for the early diagnosis of spinal tuberculosis.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R529.2

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