摘要
目的探讨骨科植入物术后感染的防治措施。方法回顾性分析29例骨科植入物手术合并感染病例的临床表现、辅助检查结果以及治疗方法等临床资料。所有病例均行抗炎、清创、术区置管冲洗引流治疗，早期感染保留植入物，迟发感染取出植入物更换为外固定或假体替代物。结果术后置管冲洗、引流及应用抗生素时间17～41天，平均22天。1例早期感染患者治疗后复发，1例患者引流不畅．经再次手术治疗。所有病例感染均获得控制出院，其中27例患者获得随访，平均随访时间18个月（12～36月），未见感染复发患者。结论骨科植入物术后感染的控制应重视感染预防，以术区局部症状作为早期诊断的主要线索．合理选择抗生素以及局部置管冲洗引流是控制感染的重要措施。
Objective To discuss the prevention and treatment of postoperative infection following orthopedics surgery with implant. Methods Data included clinical manifestation, examination and the results of management on postoperative infection following orthopedics surgery with implant. 29 patients were treated with operative debridement, antibiotic suppression, and irritation-suction system. The patients with early postoperative infection were treated with retention of hardware, while delayed postoperative infection removement of hardware. Results The period of antibiotic suppression, and irritation-suction system was 17 to 41 days （with average 22 days）. All patients were treated successfully, except 2 cases who suffered re-operation for fitting irritation-suction system in one case and debridement in another case. 27 cases were followed up average 18 months （12 to 36 months）, and no recurrence. Conclusion The management should emphasize the prevention, and the signs of location is a vatal club to diagnose for postoperative infection following orthopedics surgery with implant. The infection can be treated successfully with operative debridement, antibiotic suppression, and irritation-suction system.
出处
《临床医学工程》
2010年第11期77-78,共2页
Clinical Medicine & Engineering
关键词
内固定
假体
术后感染
防治措施
Intemal fixation
Implant
Postoperative infection
Prevention and treatment
