Comparison of pyogenic spondylitis and tuberculous spondylitis.
Comparison of pyogenic spondylitis and tuberculous spondylitis.
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DOI：
10.4184/asj.2014.8.2.216
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发表时间：
2014-04
影响因子：
2.3
通讯作者：
Lee KY
中科院分区：
文献类型：
--
作者：
Lee KY
化脓性脊柱炎和结核性脊柱炎是脊柱感染的常见原因。结核性脊柱炎和化脓性脊柱炎在临床和影像学上很难鉴别。近年来，磁共振成像已被报道有利于脊柱炎的早期诊断和鉴别诊断，并被广泛用于诊断。但是，诊断必须结合临床表现、放射学表现、血液和组织培养以及组织病理学结果的相应变化来考虑。保守治疗，包括抗菌药物，最初开始。手术治疗，包括前路或后路手术、一期或二期手术、使用或不使用内固定，可根据适应症进行。
Pyogenic spondylitis and tuberculous spondylitis are common causes of spinal infection. It is difficult to differentiate tuberculous spondylitis and pyogenic spondylitis clinically and radiologically. Recently magnetic resonance imaging has been reported to be beneficial for early diagnosis and differential diagnosis of the spondylitis, and is being used extensively for diagnosis. However, the diagnosis must be considered in combination with corresponding changes in clinical manifestations, radiological findings, blood and tissue cultures and histopathological findings. Conservative treatments, including antimicrobial medications, are started initially. Surgical treatments, which include anterior or posterior approach, single-stage or two-stage surgery, with or without instrumentation, may be performed as indicated.