摘要
目的探讨小切口椎弓根螺钉固定联合经椎间孔入路清创融合治疗原发椎间隙感染的临床效果。方法 2010年1月~2013年6月,采用该方法治疗18例原发椎间隙感染患者。观察手术时间、出血量、X线曝光次数和融合率。比较手术前后视觉模拟量表（visual analog scale,VAS）评分和Oswestry功能障碍指数（Oswestry disability index,ODI）。结果患者平均手术时间96.5 min、平均出血量160.6 mL、平均X线曝光次数为5.6次。所有患者随访6~25月（平均13.6月）,手术后均得到更好的VAS评分及ODI,且差异具有统计学意义（P〈0.001）。植骨融合率100%,无伤口感染和复发。结论该术式治疗原发椎间隙感染的临床疗效满意。具有创伤小、操作方便、易于掌握等优势。
Objective To evaluate the clinical effect of minimal access fixation combined with transforaminal debridement and fusion on the treatment of primary infection of intervertebral space. Methods From January 2010 to June 2013, 18 patients of primary infection of intervertebral space were treated by minimal access fixation combined with transforaminal debridement and fusion. The operation time, intra-operative blood loss, times of X-ray exposure and fusion rates were recor- ded. visual analog scale（VAS） scores and Oswestry disability index（ODI） were compared between preoperation and postoper- ation. Results The average operation time was 96.5 min, the average blood loss was 160.6 mL, the average times of X-ray exposure was 5.6. All patients were followed up for 6-25 months （ mean 13.6 months. The VAS score and ODI of postopera- tion were better than those before operation, and the difference was statistically significant （P 〈0.01 ）. The intervertebral fu- sion rate was 100%. There was neither wound infection nor recurrence during the follow-up. Conclusion The application of the minimal access fixation combined with transforaminal debridement and fusion for the treatment Of primary infection of inter- vertebral space can get satisfactory clinical outcomes. The technique has the advantages of less trauma, simple manipulation, and easy to master.
出处
《脊柱外科杂志》
2014年第5期305-308,共4页
Journal of Spinal Surgery
关键词
胸椎
腰椎
腰骶部
感染
脊柱融合术
清创术
Thoracic vertebrae
Lumbar vertebrae
Lumbosacral region
Infection
Spinal fusion
Debridement
