摘要
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价值。方法：回顾分析14例胸腰椎后路内固定术后伤口深部感染患者的治疗。全部实施VSD治疗，同时应用敏感抗生素，彻底清创并保留内置物。结果：14例患者经VSD治疗7～40 d，无不良反应，内固定得以保留，伤口均愈合。随访8～32个月，无感染复发。结论：在脊柱内固定术后早期深部感染的治疗中，VSD技术可有效控制感染，促进伤口早期愈合。
Objective：To investigate the value of vacuum scaling drainage （VSD） for deep wound infection after thoracic and lumbar posterior internal fixation. Methods ： Fourteen cases of deep wound infection after thoracic and lumbar instrumentation were retrospec-tively reviewed. The patients were treated with antibiotic, debridement and vacuum sealing drainage （ VSD）. Results： All the patients were treated by VSD for seven to forty days. There were no complications. The internal fixator could be remained in the wound infection. All the cases wound healed. Follow-up studies were performed ranging from 8 to 32 months. There was no recurrence of infection. Con-clusion ： For the patients with deep infections after thoracic and lumbar posterior internal fixation, vacuum sealing drainage can effective-ly control the infection and conducive to wound healing.
出处
《川北医学院学报》
CAS
2013年第6期555-558,共4页
Journal of North Sichuan Medical College
关键词
负压封闭引流
脊柱
内固定
感染
Vacuum sealing drainage
Spine
Internal fixation
Infection
