摘要
目的旨在分析颈椎后路手术术后感染的危险因素和处理方法。方法回顾性分析423例采用后路椎管成形术治疗脊髓型颈椎病患者的临床资料,按照是否发生术后感染分为对照组和感染组,分析两组患者年龄、体重指数、手术时间和术中出血量的差异。结果 233例患者中有13例发生术后感染,感染率为5.58%;平均年龄对照组为(55.51±3.12)岁、感染组为(60.00±4.97)岁,两组差异无统计学意义;对照组和感染组的体重指数分别为24.87±3.81和33.33±3.75,差异有统计学意义(P<0.05);感染组的手术时间为(172.65±28.75)min,显著高于对照组的(129.96±15.80)min(P<0.05);两组的术中出血量分别为(265.81±32.51)ml和(270.00±23.81)ml,差异无统计学意义。结论颈椎后路手术术后感染与体重指数、手术时间有关,体重指数越大、手术时间越长,发生感染的风险越大。
OBJECTIVE To analyze the risk factors of the infections after posterior cervical operation so as to propose treatment measures.METHODS The clinical data of 423 patients diagnosed as cervical spondylotic myelopathy who were treated with posterior laminoplasty were retrospectively analyzed,the patients were divided into the control group and the infection group according to the infection status,then the age,body mass index（BMI）,operation duration,and intraoperative blood loss were compared between the two groups.RESULTS Of 233 cases of patients,the postoperative infections occurred in 13 cases with the infection rate of 5.58%.The average age of the control group was（55.51±3.12）years old,the infection group（60.00±4.97）years old,the difference between the two groups was not significant.The BMI was（24.87±3.81）in the control group,and（33.33±3.75）in the observation group,the difference was significant（P0.05）;the operation duration of the infection group was（172.65±28.75）min,significantly longer than（29.96±15.80）min of the control group（P0.05）;the intraoperative blood loss of the two groups were（265.81±32.51）ml and（270.00±23.81）ml,respectively,the difference between the two groups was not significant.CONCLUSIONThe infection after posterior cervical operation is related to the BMI or the operation duration,the more the BMI or the longer the operation duration,the higher the risk of infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第14期3402-3403,共2页
Chinese Journal of Nosocomiology
基金
佛山市三水区经济和科技促进局基金(201221C)
关键词
颈椎
手术
感染
椎管成形术
Cervical vertebra
Operation
Infection
Laminoplasty
