International Journal of Clinical and Experimental Medicine Research

ISSN Print: 2575-7989 Downloads: 113207 Total View: 1777010
Frequency: quarterly ISSN Online: 2575-7970 CODEN: IJCEMH
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Article http://dx.doi.org/10.26855/ijcemr.2022.10.015

Clinical Study of 566 Cases of Senile Spinal Tuberculosis

Lilan Wu1, Manying Qu1, Zhi Jiang2,*, Ke Wan2

1The Second People's Hospital of Guangdong Province, Guangzhou 510317, Guangdong Province, China.

2Changsha Central Hospital, Changsha 410028, Hunan Province, China.

*Corresponding author: Zhi Jiang

Published: November 15,2022

Abstract

Objective: To summarize the clinical characteristics of 566 patients with senile spinal tuberculosis, and to explore the efficacy and clinical value of paravertebral puncture injection in the treatment of senile spinal tuberculosis. Methods:  The clinical data of 566 elderly patients with spinal tuberculosis were retrospectively analyzed. All patients underwent Mycobacterium tuberculosis smear and culture, T-SPOT test (T-Spot.TB), CT and MRI. Combined with oral anti-tuberculosis drugs for 1.5-2 years. Results: 498 patients (88%) were treated with oral antituberculosis drugs and paravertebral puncture, the clinical symptoms were improved significantly, no pain, tuberculosis poisoning symptoms disappeared, activity limitation disappeared or relieved, and clinical cure was achieved. Sixty-eight patients (12%) with severe limb paraplegia, obvious neurological impairment, spinal instability and other patients who met the indications for surgery underwent debridement and fixation after 2-4 weeks of paravertebral injection. Conclusion: Regular paravertebral puncture and local drug injection is beneficial to improve the cure rate of senile spinal tuberculosis. Compared with surgery, it is more simple, safe and effective. It is suitable for clinical application and can be regarded as a good strategy for conservative treatment in internal medicine.

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How to cite this paper

Clinical Study of 566 Cases of Senile Spinal Tuberculosis

How to cite this paper: Lilan Wu, Manying Qu, Zhi Jiang, Ke Wan. (2022) Clinical Study of 566 Cases of Senile Spinal Tuberculosis. International Journal of Clinical and Experimental Medicine Research6(4), 413-418.

DOI: http://dx.doi.org/10.26855/ijcemr.2022.10.015