椎间隙感染及介入治疗的应用  

Infection of intervertebral space and the interventional therapy

作　　者：胡建中[1] 张俊[1] 王锡阳[1] 何洪波[1] 刘金洋[1] 张宏其[1] 邓展生[1] 龙文荣[1] 

机构地区：[1]中南大学湘雅医院骨科,长沙410008

出　　处：《中南大学学报（医学版）》2007年第3期512-514,共3页Journal of Central South University ：Medical Science

摘　　要：目的：探讨介入治疗在椎间隙感染中的应用。方法：透视机监视下自腰椎间隙侧后方进针,引流脓液或切割取出变性椎间盘组织及感染坏死组织,并放置引流管。术后严格卧床,经所置硅胶引流管每日作椎间隙注药,共3～4周拨管。结果：8例病人在治疗后获得良好疗效,病人手术当日腰痛即显著缓解,血沉逐渐下降,3～4周即可拨管。结论：介入置管治疗与开放手术相比,后者有明显的优越性。Objective To investigate the effect of interventional therapy in the treatment of intervertebral space infection. Methods The needle was punctured into the infected intervertebral space from the post-lateral side of the spine monitored by X-rays. The pus was drained, the degenerative disc tissues and necrosis tissues were excised and taken out, and at the end a drainaging catheter was put into the space through the needle. The patient should lie in bed absolutely. The antibiotics was injected into the space through the silicon catheter every day. Three to four weeks later, the catheter was removed. Results All the 8 patients got good results after the therapy. The low back pain was dramatically alleviated instantly at the day of operation. Erythrocyte sedimental rate gradually descended. After 3 - 4 weeks of treatment, the catheter was removed Conclusion Interventional therapy of the intervetebral space infection has notable advantage over the open operation.

关 键 词：椎间隙 感染 介入治疗 

分 类 号：R681.5[医药卫生—骨科学]