CAJ | 학술논문

目的探讨C反应蛋白在颈腰椎间盘突出症微创术后早期椎间隙感染鉴别中的临床意义.方法选择2009年5月-2010年5月在我院住院的颈腰椎间盘突出症微创术后患者150例,其中确诊椎间隙感染21例(男15例,女6例,年龄35～76岁,平均56岁),其余患者均如期痊愈出院.将150例患者分为感染组和对照组.设备使用德国罗氏公司COBAS INTEGRA400型全自动生化分析仪进行血清C反应蛋白及WBC测定,试剂采用德国罗氏公司原装配套产品.采用免疫比浊法,空腹抽取静脉血,分离血清,2小时内完成检测.结果 21例微创术后椎间隙感染患者早期白细胞总数(WBC)均在正常值内,而患者C反应蛋白(CRP)明显高于正常值,均超过40mg/L.结论 C反应蛋白在颈腰椎间盘突出症微创术后,椎间隙感染的早期诊断中具有显著的临床意义,为后期的临床治疗提供有效的监测数据.
목적 탐토C반응단백재경요추간반돌출증미창술후조기추간극감염감별중적림상의의.방법 선택2009년5월-2010년5월재아원주원적경요추간반돌출증미창술후환자150례,기중학진추간극감염21례(남15례,녀6례,년령35～76세,평균56세),기여환자균여기전유출원.장150례환자분위감염조화대조조.설비사용덕국라씨공사COBAS INTEGRA400형전자동생화분석의진행혈청C반응단백급WBC측정,시제채용덕국라씨공사원장배투산품.채용면역비탁법,공복추취정맥혈,분리혈청,2소시내완성검측.결과 21례미창술후추간극감염환자조기백세포총수(WBC)균재정상치내,이환자C반응단백(CRP)명현고우정상치,균초과40mg/L.결론 C반응단백재경요추간반돌출증미창술후,추간극감염적조기진단중구유현저적림상의의,위후기적림상치료제공유효적감측수거.
Objective To investigate the clinical significance of C-reactive protein used for identification in an early stage of the intervertebral space whether to have become infect or not after minimally invasive operation of prolapse of cervical and lumbar intervertebral disc. Methods We collect 21 patients, including 15 men and 6 women, the age group of 35 to 76 years old , and the average age of the group is 56. The equipment used is the German Roche Campus COBAS INTEGRA 400, and yuan ding supplies us with reagents. Results The leukocyte count (wbc) of 21 cases whose intervertebral space infect after minimally invasive operation are within normal range early, while C-reactive protein (ckp) is significantly higher than normal, and it is more than 40m / L. Conclusion C-reactive protein is significant for earlydiagnosis when people's intervertebral space infect after minimally invasive operation, and it can provide the follow-up clinical treatment with effective monitoring data