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目的 探讨胸椎结核不同部位脓肿的形态特点 ,为诊断、鉴别诊断及其治疗提供参考。方法 对 1993～2 0 0 2年我院收治的胸椎结核患者 2 15例作回顾性分析 ,总结其不同部位的脓肿形态。结果 胸椎结核有 87%合并椎旁脓肿或流注脓肿 ,并且其形态、部位、大小和流注方向各异 ,各具其相应的临床意义。结论 脓肿是胸椎结核的一大临床症状和体征 ,其形态、大小和流注部位与胸椎的解剖结构、生理功能、周围组织和病情的轻重紧密相关 ;同时也是鉴别诊断的要点 ,正确了解它对疾病的诊断和指导治疗有着深远的意义
Objective To investigate the morphological characteristics of abscess in different parts of thoracic tuberculosis and provide reference for diagnosis, differential diagnosis and treatment. Methods A retrospective analysis of 215 cases of thoracic tuberculosis admitted to our hospital from 1993 to 2002 was made, and the abscess morphology of different parts was summarized. Results 87% of thoracic tuberculosis with paravertebral abscess or infusing abscess, and its shape, location, size and direction of injection of different, each with its corresponding clinical significance. Conclusion The abscess is a major clinical symptom and sign of thoracic tuberculosis. Its shape, size and infusing site are closely related to the anatomy, physiological function, the surrounding tissue and the severity of the disease. It is also the key point of differential diagnosis, Diagnosis and treatment of diseases have far-reaching significance