经过最近十几年总结 ,国内外学者已就脊柱结核的治疗目标初步达成共识 :早期诊断 ,明确病变的程度和原因 ,保护神经功能 ,中止神经损害的发展 ,彻底消灭感染 ,消除疼痛 ,稳定脊柱 [1 ]。现就其治疗进展综述如下。1　化学治疗总的来说 ,化疗的适应症是 :受累范围较小的早期脊柱 After more than ten years’ experience, domestic and foreign scholars have initially reached a consensus on the therapeutic target of spinal tuberculosis: early diagnosis, clarifying the extent and causes of the disease, protecting the nerve function, stopping the development of nerve damage, eliminating infection completely, eliminating pain, stabilizing the spine [1 ]. The progress of their treatment are summarized below. 1 Chemotherapy In general, chemotherapy indications are: a lesser involvement of the early spine