CAJ | 학술논문

目的：观察负压封闭引流( VSD)治疗胸腰椎病变术后切口感染的临床疗效。方法对54例胸腰椎病变术后切口感染患者分别采用置管冲洗引流(对照组,23例)和VSD( VSD组,31例)治疗。比较两组抗生素应用时间、创口局部治疗时间、引流管阻塞情况,创口愈合情况,观察VSD副反应,评估VSD的疗效。结果54例患者均获随访,时间6~15个月。抗生素应用时间：对照组(20.1±5.6)d,VSD组(14.1±2.1)d；创口局部治疗时间：对照组(25.2±6.2)d,VSD组(15.0±4.6)d；引流管阻塞次数：对照组13次(13/33),VSD组11次(11/81)；创口愈合情况：对照组15例(15/23),VSD组29例(29/31)。两组上述指标比较差异均有统计学意义(P<0.05)。 VSD组出现皮肤发红、发痒5例,皮疹3例。结论 VSD治疗胸腰椎病变术后切口感染能缩短感染伤口治疗时间,促进创口愈合。
목적：관찰부압봉폐인류( VSD)치료흉요추병변술후절구감염적림상료효。방법대54례흉요추병변술후절구감염환자분별채용치관충세인류(대조조,23례)화VSD( VSD조,31례)치료。비교량조항생소응용시간、창구국부치료시간、인류관조새정황,창구유합정황,관찰VSD부반응,평고VSD적료효。결과54례환자균획수방,시간6~15개월。항생소응용시간：대조조(20.1±5.6)d,VSD조(14.1±2.1)d；창구국부치료시간：대조조(25.2±6.2)d,VSD조(15.0±4.6)d；인류관조새차수：대조조13차(13/33),VSD조11차(11/81)；창구유합정황：대조조15례(15/23),VSD조29례(29/31)。량조상술지표비교차이균유통계학의의(P<0.05)。 VSD조출현피부발홍、발양5례,피진3례。결론 VSD치료흉요추병변술후절구감염능축단감염상구치료시간,촉진창구유합。
Objective To observe the clinical efficacy of vacuum sealing drainage ( VSD) in the treatment of postop-erative wound infection of thoracolumbar vertebral body disease. Methods 54 cases with postoperative incisional in-fection of thoracic lumbar spine surgery were respectively treated by irrigation-suction(control group,23cases)and VSD(VSD group,31cases). The antibiotics applying time, the wound treatment time, drainage tube blockage situa-tion, the wound healing situation, VSD side reaction and other indexes were compared and retrospectively analyzed to evaluate the efficacy of VSD. Results 54 cases were followed up for 6~15 months. The antibiotics treatment time (20. 1 ± 5. 6)d in control group and(14. 1 ± 2. 1)d in VSD group, the tresis vulnus treatment time(25. 2 ± 6. 2)d in control group and(15. 0 ± 4. 6) d in VSD group, drainage tube blockage 13 times(13/33) in control group and 11 times(11/81)in VSD group, tresis vulnus was healed in 15 cases (15/23) in control group and 29 cases(29/31) in VSD group. These differences had statistical significance ( P <0. 05 ) . VSD group had 5 cases of skin redness and tickle, 3 cases of rash. Conclusions VSD can effectively shorten the wound infection treatment time and promote wound healing in the treatment of postoperative wound infection of thoracolumbar vertebral body disease.