摘要
目的:探讨脊柱后路内固定术后感染的原因与诊治对策。方法:对21例脊柱后路内固定术后感染患者(急性感染4例,迟发性感染17例),按感染发生的时间不同,给予不同的处理方法。然后对病因、临床表现、诊断依据、治疗方法及预后进行分析总结。结果:经治疗后患者伤口均甲级愈合,未再出现红肿、渗出、窦道及其他不适。21例平均随访2～3年,疗效优良率为90.5%。结论:病灶切开引流、病灶清创缝合、病灶灌洗引流术、内固定取出术辅以敏感的抗生素静脉输入治疗脊柱后路内固定术后急性感染和迟发性感染行之有效。
Objective： To evaluate the causes and treatment strategy of incision infection induced by posterior spinal fixation. Methods： 21 cases diagnosed as postsurgical infection were followed in the study, which included 4 cases of acute infection and 17 cases of delayed infection. According to the different inflectional time, different surgical intervention were selected. The causes of infection, clinical manifestations, diagnosis and treatment methods and prognosis were analyzed systemly. Results： All the patients were followed from 2 to 3 years, and all obtained the excellent results after effective treatment. At the last follow up, no local erythema ,swollen, drainage, sinus formation and other discomfort were founded in 90.5% of total patients. Conclusion： It is an effective method to deal the infection by four different methods including focus incision and drainage, debridement and suturing lesions, lesions irrigation drainage and the internal fixation removed. With sensitive intravenous antibiotics.
出处
《天津医科大学学报》
2010年第1期90-92,共3页
Journal of Tianjin Medical University
关键词
脊柱
后路内固定
感染
治疗
Spine
Posterior internal fixation
Infection
Treatment
