摘要
目的 探讨胸腰椎疾患后路内固定术后感染的原因及治疗措施。方法 分析 16例胸腰椎疾患后路内固定术后感染的原因 ,行内固定物取出、病灶清除、灌洗引流、抗感染治疗。结果 16例平均随访 4 5年 ,所有患者疼痛消失 ,切口愈合良好。结论 胸腰椎疾患后路内固定术后感染为初次手术时手术污染所致 ,微创及严格的无菌操作是预防该并发症的根本措施。确诊后行病灶清除、灌洗引流术 ,疗效满意。
Objective To study the causes and countermeasures of postoperative infection in posterior internal fixation for thoracolumbar spondylopathy.Methods 16 cases of postoperative infection in posterior internal fixation for thoracolumbar spondylopathy were performed causes analysis. All were treated with internal fixator removal,focus elimination, lavage, drainage and antibiotics administration.Results 16 cases were followed up for 4.5 years. All cases got pain release and incisions healed well.Conclusion The postoperative infection in posterior internal fixation for thoracolumbar spondylopathy is caused by surgical contamination. Minimal invasion and strict sterile manipulation are the essential prevention measures. It provides satisfactory outcome with focus elimination, lavage and drainage after confirmed diagnosis.
出处
《临床骨科杂志》
2004年第4期432-433,共2页
Journal of Clinical Orthopaedics
关键词
脊柱骨折
脊柱滑脱
胸腰椎
骨折固定术
内
外科伤门感染
spinal fractures
spondylolysis
thoracolumbar
fracture fixation,internal
surgical wound infection
