结核前的

Results (1) Osteitis and destruction of end-plate showed long T1 and long T2.(2) Anterior and lateral abscess had long T1 and long T2 presenting even and structure-less signal.(3) The intervertebral discs showed normal or only degeneration at the early stage, and destroyed at later stage.(4) With Gd-DTPA enhancement, fibrotic granulation around abscess and destroyed area was well demonstrated.(5) Abscess in the bone and/or paraspinal abscess, destruction of end-plate were the important evidence for early diagnosis.

结果 (1)椎体骨炎及终板破坏呈长T1长T2信号，(2)椎旁或椎前冷脓肿呈长T1长T2均匀无结构信号，且上下跨越范围较大，(3)早期椎间盘信号正常或只出现退变，晚期则被破坏，(4)Gd-DTPA增强扫描可清楚显示冷脓肿周围纤维肉芽组织及椎管内侵犯，(5)骨内小脓肿和/或椎旁脓肿、椎体终板破坏是MRI诊断早期脊柱结核的重要依据。

All patients underwent 1 stage anterior debridement, strut autografting, and posterior instrumentation and received combined medication antituberculosis chemotherapy for 12 to 24 months (average 18 mo).

所有患者均接受了一期前路清创，自体骨支撑性植骨，后路内固定，并联合抗结核药物进行了12-24个月（平均18个月）的化疗。

We present a retrospective clinical study of 23 patients with MTSUTR treated by anterior decompression, strut autografting, posterior instrumentation, and fusion.

目的 上胸椎多节段脊柱结核文献中少有报道，我们对23例上胸椎多节段脊柱结核进行了前路减压自体骨支撑植骨、后路内固定，前后方融合，并对其进行了回顾性临床研究，以平价这一手术方法对上胸椎多节段脊柱结核的临床疗效。

Lumbarsacral junction tuberculosis treated with this surgical technique can achieve a high satisfactory rate with restoring the spinal stabil ity, arresting the disease early, providing early fusion, correcting the kyphosis and preventing progression of kyphosis particularly if lumbosacral spine tuberculosis is associated with sinus or preoperative diagnosis cannot exclude suppurative spondyl itis.

血常规、血沉、肝肾功正常9 例，2 例肝转氨酶升高。结论前路彻底病灶清除、植骨结合后路器械固定治疗腰骶段脊柱结核具有安全、操作简便、利于恢复脊柱的稳定性、提高植骨融合率、纠正和预防后凸畸形的优点，适用于腰骶段脊柱结核伴窦道及术前诊断尚不能排除化脓性脊椎炎者。

Objective:To study children's tuberculosis and the related prevention and treatment Methods: Analyaing 90 children cases with various types of tuberculosis, who were collected from 1991 to 1997Results: The children patients of tuberculosis found in 1996 and 1997 were nerly the total in the past five years The patients in rural areas and in the floating population accounted for 85% Of 33 cases with tuberculose meningitis,17 patients alleviated after the treatment,13 patients automatically discharged and...

目的 ：探讨昆明市儿童结核病发病情况。方法：对我院1991年至1997年收住的各类型结核病患儿90例进行发病情况分析。结果：1996年、1997年两年的患儿46例(51 %)是前5a的总和。其中农村人口及流动人口发病率显著高于城市人口。结论：昆明市儿童结核病发病率呈上升趋势，儿童结核病是成人续发性结核病的根源，尽早发现和治疗儿童结核病是控制结核传播的重要手段

METHODS: Twenty pationts with spinal tuberculosis were treated by anterior partial vertebrectomy of the diseased vertebrae, iliac grafting and internal fixation via anterior of posterior approach.

20例脊柱结核患者，施行病灶部分切除、髂骨植骨、前路或后路内固定手术，术后将切除的大块病灶骨用MMA包埋、不脱钙骨切片、甲苯胺蓝染色，观察结核特征性病灶在整块骨中的分布情况。

Treatment of spinal tuberculosis1methods between february 1998 and august 2000 , 12 patients with spinal tuberculosis were operated with anterior vertebrectomy , bone grafting and plating1 evaluation including bone fusionrate , correction of deformity and status of spinal lesion was carried out1results in an average of ten months ,spinal tuberculosis was completely cured and solid bone fusion had taken place in all 12 patients1 the time for bone fusion averaged 518 months and the average angle of correction of kyphosis was 16°1conclusions anterior plating following vertebrectomy and bone grafting offers a complete removal of lesion and decompression of the spinal canal as well as reconstruction of spinal stability1 early rehabilitation and an increased curative rate can be expected through this procedure1

目的 探讨经脊柱前路结核病灶清除的同时植骨内固定的可行性和必要性，以及对脊柱结核的治疗效果。方法1998 年2月~2000 年8 月采用脊柱前路病椎切除加植骨，并采用orion或z-plate 钢板进行椎体固定。共治疗12 例脊柱结核，观察植骨融合及矫正畸形情况和结核病灶愈合情况。结果经平均10 个月的随访，12 例患者脊柱结核均治愈，植骨与受骨区全部骨性融合，融合时间平均为518 个月，后凸矫正角度平均16°。全组病例切口均一期愈合。无手术并发症。结论本方法可经脊柱前路作较彻底的病灶清除，并较好地进行脊柱矫形和椎管减压，完成脊柱稳定性重建，有利于患者早期离床活动和脊柱结核治愈率的提高。

Based on general chemotherapy, 33 patients with endomembrane tuberculosis underwent intervention therapy by bronchoscope, in which isoniazide, rifampin and pyrazinamide gel were injected on the part of lesion every 2 to 3 weeks.

我们自 1999年 3月起对支气管内膜结核患者在全身化疗基础上配合纤维支气管镜局部介入治疗，现报告如下：1 材料和方法1.1 临床资料 1999年 3月～ 2 0 0 1年 12月我院收治的支气管内膜结核患者共 33例为治疗组，随机抽取1997年 1月～ 1999年 2月收治的支气管内膜结核患者 36例作为对照组，二组治疗前均经纤支镜检查确诊，每组具体情况见表 1。

Results The positive rates of detecting Mycobacterium tuberculosis were13%,19%,22%,15% and 76% respectively by pathologic examination, brushing smear, sputum smear, culture after bronchoscopy and NPCR methods. Significant differences were found between NPCR and the other 4 methods (all Ps＜0.01). No positive result for Mycobacterium tuberculosis was found in 43 controls by NPCR.

结果 67例支气管内膜结核活检组织病理检查、刷检涂片、支气管镜检&激惹&后痰涂片、镜检术后痰培养及NPCR检测阳性率分别为13%、19%、22%、15%和76%，后者与前四者相比差异有非常显著性(P均＜0.01)。43例支气管肺癌患者结核分支杆菌DNA的NPCR无一例阳性。

Results The positive rates of detecting Mycobacterium tuberculosis were13%,19%,22%,15% and 76% respectively by pathologic examination, brushing smear, sputum smear, culture after bronchoscopy and NPCR methods. Significant differences were found between NPCR and the other 4 methods (all Ps＜0.01). No positive result for Mycobacterium tuberculosis was found in 43 controls by NPCR.

结果 67例支气管内膜结核活检组织病理活动检查、刷检涂片、支气管镜检&激惹&后痰涂片、镜检术后痰培养及NPCR 检测流产阳性率分别为13%、19%、22%、15%和76%，后者与前四者相比差异有非常显著性(P均＜0.01)。43例支气管肺癌患者结核分支杆菌DNA的NPCR无一例阳性。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。