摘要
目的探讨腰椎后路内固定术后深部感染的临床特点和诊治方法。方法分析腰椎内固定术后发生深部感染18例的临床特点,全部病例根据临床表现及切口B超检查,明确诊断,给予病灶清除,灌洗引流及保留内固定,敏感抗生素治疗。结果腰部切口B超检查可早期发现术后感染;所有病例1周后腰部疼痛症状减轻,2周后腰部疼痛消除。结论腰椎后路内固定术后深部感染,可通过早期诊断,彻底清创,灌注冲洗,有效抗生素应用,完全治愈。
Objective To investigate the clinical characteristics, diagnosis and treatment of deep infection after posterior lumbar internal fixation. Methods The clinical characteristics of 18 cases of deep wound infection were analyzed. The diagnosis was established by clinical manifestation and B-ultrasound examination. Sensitive anti- biotics, debridement and wound irrigation was used; the internal implantation were reserved. Results Lumbar inci- sion B-ultrasound examination could help to early discover deep infection; back pain of all cases was relieved after one week, and disappeared after two weeks. Conclusion Through early diagnosis and complete debridement and irrigation and effective antibiotic use, deep infection after posterior lumbar internal fixation could be cured.
出处
《中国临床新医学》
2010年第3期266-268,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
腰椎
内固定术
感染
灌注冲洗
Lumbar vertebra
Internal fixation
Infection
Irrigation
