QIN Shi-bing,DONG Wei-jie,XU Shuang-zheng.Chemotherapy in treatment of spinal tuberculosis: a retrospective analysis of 890 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(20):1929-1931.
QIN Shi-bing,DONG Wei-jie,XU Shuang-zheng.Chemotherapy in treatment of spinal tuberculosis: a retrospective analysis of 890 cases[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(20):1929-1931.DOI:
Chemotherapy in treatment of spinal tuberculosis: a retrospective analysis of 890 cases
Objective To analyze the drug therapeutic regimen and duration of the chemotherapy in the spinal tuberculosis in order to determine the best therapeutic regimen and duration of the spinal anti-tuberculosis. Methods The medication plan and duration of 890 hospitalized patients with spinal tuberculosis in our hospital from January 2001 to December 2008 were retrospectively investigated. We collected the plan of the initial treatment
retreatment
recrudescence and drug resistance. We also studied the individuation therapeutic regimen of the patients with tuberculosis at other parts or complications. On the basis of these data
we analyzed the interferential appearance that the anti-tuberculosis drug acted on different onsets
manifestations and operations. Results In 890 patients of spinal tuberculosis
596 cases (67%) were initial treatment
294 (33%) were retreatment
recur cases were 110 (12.3%)
drug resistance cases were 74(8.3%)
and those complicated with tuberculosis in other parts were 273 (30.7%). The main chemotherapeutic regimen was the usual tetragenous protocol (H12/R12/E9/Z5/S3). The retreatment cases were given second-line drugs such as levofloxacin. The drug resistance cases were also given second-line drugs and intravenous infusion. According to the anti-tubercle bacillus spectrum
individuation treatments were adopted
and the plan was changed in time. The medication duration continued for 9-36 months. All the 890 patients were cured. Conclusion For the treatment of spinal tuberculosis
it is significance to make a efficient and standardized anti-tuberculosis chemotherapy.