[Causes of disabling forms of tuberculous spondylitis].

Problemy tuberkuleza Pub Date : 2002-01-01
E O Peretsmanas
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引用次数: 0

Abstract

To define the causes of disabling forms of tuberculous spondylitis, 218 patients with advanced complicated forms of tuberculosis of the vertebral column were examined. Their specific process was complicated by abscesses, fistulas, deformity, and instability of the affected portion of the vertebral column, and neurological disorders. Analysis of clinical findings has indicated that the main causes of complications are late diagnosis of the disease and general practitioners' poor special knowledge. Diagnostic errors may be also caused by a larger number of asymptomatic and atypical forms of tuberculous spondylitis. Diagnosis and differential diagnosis should be improved in order to prevent complications due to spinal tuberculous and as a result its disabling forms.

[致残形式结核性脊柱炎的原因]。
为了确定致残形式的结核性脊柱炎的原因,218例晚期复杂形式的脊柱结核进行了检查。他们的特殊过程是复杂的脓肿,瘘管,畸形,脊柱的影响部分不稳定,以及神经系统疾病。临床表现分析表明,并发症的主要原因是疾病的诊断较晚和全科医生的专业知识较差。大量无症状和非典型形式的结核性脊柱炎也可能导致诊断错误。诊断和鉴别诊断应改进,以防止并发症由于脊柱结核,并导致其致残形式。
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