临床骨科杂志
臨床骨科雜誌
림상골과잡지
JOURNAL OF CLINICAL ORTHOPAEDICS
2014年
4期
393-395
,共3页
丁斌%秦承东%顾健%郑勇%潘如克%叶尔登
丁斌%秦承東%顧健%鄭勇%潘如剋%葉爾登
정빈%진승동%고건%정용%반여극%협이등
腰椎/外科学%内固定%手术后感染%围手术期
腰椎/外科學%內固定%手術後感染%圍手術期
요추/외과학%내고정%수술후감염%위수술기
lumbar/surgery%internal fixation%postoperative infection%periopreative period
目的:探讨腰椎后路内固定术后感染的治疗及预防措施。方法对6例腰椎后路内固定术后感染患者行清创后一期缝合,观察感染有无复发,术后神经功能恢复情况及内固定有无松动,评价临床效果。结果患者均获随访,时间6~14个月。患者伤口均一期愈合,未发现感染复发;神经功能恢复满意。结论腰椎内固定术后感染早期诊断、早期清创可以获得满意的临床疗效。围手术期对合并疾病的有效治疗可以减少术后感染的发生。
目的:探討腰椎後路內固定術後感染的治療及預防措施。方法對6例腰椎後路內固定術後感染患者行清創後一期縫閤,觀察感染有無複髮,術後神經功能恢複情況及內固定有無鬆動,評價臨床效果。結果患者均穫隨訪,時間6~14箇月。患者傷口均一期愈閤,未髮現感染複髮;神經功能恢複滿意。結論腰椎內固定術後感染早期診斷、早期清創可以穫得滿意的臨床療效。圍手術期對閤併疾病的有效治療可以減少術後感染的髮生。
목적:탐토요추후로내고정술후감염적치료급예방조시。방법대6례요추후로내고정술후감염환자행청창후일기봉합,관찰감염유무복발,술후신경공능회복정황급내고정유무송동,평개림상효과。결과환자균획수방,시간6~14개월。환자상구균일기유합,미발현감염복발;신경공능회복만의。결론요추내고정술후감염조기진단、조기청창가이획득만의적림상료효。위수술기대합병질병적유효치료가이감소술후감염적발생。
Objective To study the treatment of the infection after lumbar instrumentation and prevention. Methods Six cases of infection after posterior lumbar instrumentation were treated with debridement and observed the evi-dence of recurrence of infection,neural function recovery,internal fixation loosening. The clinical results were stud-ied. Results Six cases were followed up for 6~14 months. The wounds got healing. The evidence of recurrence of infection was not found, nerve function recovered satisfactorily. Conclusions Early diagnosis and active debride-ment can lead to good results for the infection after posterior lumbar instrumentation. Effevtive treatment of perio-preative period of comorbidities can reduce postoperative infection.