关键词: 结核, 骨关节, 红细胞沉降率, 预后

Abstract: ［Abstract］ Objective〖HTSS〗〓To investigate influence of the erythrocyte sedimentation rate（ESR） of postoperative of bone joint tuberculosis and to determine the factors correlating with the prognosis.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Total 403 cases accepting surgical treatment for bone tuberculosis  were selected in our department, among them, 178 cases of spinal tuberculosis, knee joint tuberculosis, 83 patients, 79 cases of hip joint tuberculosis and 14 cases with elbow joint  tuberculosis, 11 cases with ankle tuberculosis, wrist joint tuberculosis in 38 cases. The ESR was controlled properly in Spine, hip joint tuberculosis patients, and if ESR>85 mm/1 h, the patients were treated in knee, ankle, elbow, wrist joint tuberculosis  with the chemotherapy drug. Other patients before operation didn′t give the chemotherapy drugs for a long time. The patients were divided into three groups according to the preoperative ESR(Group A  ESR<40 mm/1 h, Group B ESR 40 mm/1 h-85 mm/1 h, and Group C ESR>85 mm/1 h) . All the patients underwent debridement surgery according to the size of the lesions or abscess. The VAS score, primary healing rate, recurrence rate  of three groups were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The pathological results of 31 patients were reported as acute and chronic inflammation, and the rest were confirmed as tuberculosis by postoperative pathology or tuberculous culture. There were no statistically significant differences in VAS scores before and after operation in the 3 groups(P＞005), and the clinical efficacy differences of 3 groups were not statistically significant(P＞005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Surgical treatment is an important method in the treatment of bone and joint tuberculosis. ESR had no obvious effect on the longterm recurrence rate and functional recovery. Surgical indications can  be consider comprehensive, and high ESR is no longer as a single absolute contraindications.

Key words: tuberculosis, osteoarticular, erythrocyte sedimentation rate, prognosis