CAJ | 학술논문

目的探讨负压封闭引流(Vacuum sealing drainage, VSD)技术在胸腰椎后路内固定术后早期伤口深部感染治疗中的应用.方法回顾性分析我院2008年1月~2010年12月胸腰椎后路内固定术后深部感染的12例患者,应用敏感抗生素,保留内固定、彻底清创并结合负压封闭引流治疗,二期缝合.结果12例病人经过1~3次负压引流后感染得到控制,均顺利行二期创面缝合.随访9~36个月,患者感染均未再复发.结论对于胸腰椎后路内固定术后早期的深部感染,应用敏感抗生素,彻底清创并结合负压封闭引流可以有效控制感染,利于伤口的早期愈合,但是否保留内固定物仍需进一步的研究.
목적탐토부압봉폐인류(Vacuum sealing drainage, VSD)기술재흉요추후로내고정술후조기상구심부감염치료중적응용.방법회고성분석아원2008년1월~2010년12월흉요추후로내고정술후심부감염적12례환자,응용민감항생소,보류내고정、철저청창병결합부압봉폐인류치료,이기봉합.결과12례병인경과1~3차부압인류후감염득도공제,균순리행이기창면봉합.수방9~36개월,환자감염균미재복발.결론대우흉요추후로내고정술후조기적심부감염,응용민감항생소,철저청창병결합부압봉폐인류가이유효공제감염,리우상구적조기유합,단시부보류내고정물잉수진일보적연구.
Objective To investigate the efficacy of Vacuum sealing drainage (VSD) for deep infection after thorac-olumbar posterior internal fixation. Methods From January 2008 to December 2010, 12 patients with deep infection after thoracolumbar posterior internal fixation were treated, all of them underwent combined debridement with implant retained, vacuum sealing drainage and intravenous antibiotic therapy, then the wound was closed. Results All the patients were treated by VSD for one to three times before the wound closure, all the patients were followed up for 9 to 36 months and all the cases were cured. Conclusion For the patients with early-onset deep infections after thoracolumbar posterior internal fixation, the application of sensitive antibiotics, thorough debridement combined with vacuum sealing drainage can effectively control the infection, and conducive to wound healing, but whether the implant retained still need further research.