Removal of tuberculosis lesions of cervical 1 and 2 vertebral bodies

Cervical 1, 2 vertebral tuberculosis lesions for surgical treatment of spinal tuberculosis. Treating diseases: spinal tuberculosis Indication Cervical 1, 2 vertebral tuberculosis lesions are suitable for: 1. Patients with dyspnea and ineffective after non-surgical treatment. 2. Causes difficulty in swallowing. 3. Compression of the spinal cord causes paraplegia. Contraindications 1. The vertebral body is lightly damaged, and it is easy to cure with non-surgical treatment. 2. Children's cervical tuberculosis, generally with anti-caries drugs plus neck pillow plaster support can be cured. 3. There are serious organic diseases, poor physical fitness can not tolerate surgery, such as coronary heart disease, open tuberculosis, liver and kidney dysfunction, and severe diabetes, etc., do not force the operation to avoid accidents during surgery. Preoperative preparation 1. Learn more about the presence or absence of active lesions. 2. Routine cervical X-ray films, chest radiographs, if necessary, CT examination. 3. Regular examination of erythrocyte sedimentation rate, liver and kidney function. 4. Apply anti-tuberculosis drugs, systemic support therapy. 5. Prepare blood 300~600ml. 6. Do a good job of neck pillow plaster before surgery. 7. Pay attention to oral hygiene and apply anti-infective drugs. Surgical procedure Anesthesia and position General anesthesia can be used for children and sensitive patients. Adults who can cooperate can use 1% procaine local anesthesia. The head is reclined, the neck and shoulder pads are a thin pillow, and the skull traction is still traction during the operation. Surgical procedure Incision Open the mouth with an automatic retractor. A needle is sewed on both sides of the uvula and soft palate to enlarge the surgical field and facilitate the exploration of the occipital joint. Fill the lower part of the throat with saline gauze, puncture the pus with a long needle, and cut the pus by cutting a 3 cm long longitudinal incision along the midline of the annulus. 2. Scraping the lesion The incision abscess wall and ligament were exfoliated from the subperiosteum to the two sides, and the two sides of the incision were used to pull the two needles to the two sides, and the lesion was scraped under direct vision. 3. Closing the wound Rinse the wound and place streptomycin 1g and isoniazid 200mg plus gelatin sponge to fill the bone hole. complication Pulmonary infection, airway obstruction; excessive removal of the vertebral body is likely to cause cervical dislocation, causing paralysis.

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