纤维环扩大开窗预防腰椎间盘术后椎间隙感染  

Prevention of Postoperative Lumbar Intervertebral Infection with Extended Windowing of Annulus Fibrosus

作　　者：魏鲁青[1] 林庆光[1] 赵新建[1] 

机构地区：[1]广东省佛山市第一人民医院,528000

出　　处：《中国骨伤》1998年第6期3-4,共2页China Journal of Orthopaedics and Traumatology

摘　　要：腰椎间盘摘除术后椎间隙感染临床较为少见，但确是一种严重的手术并发症。一旦发生，临床处理困难且预后不好。由于椎间隙内失活组织存留、血肿引致椎间隙内压力增高是椎间隙感染的关键，我科用椎管内减压的原理，对154例腰椎间盘突出病人行纤维环扩大开窗摘除。结果无一例发生术后椎间隙感染，取得了显著的临床效果。与传统手术病人458例组术后椎间隙感染13例对比，统计学精确概率显示P＜0．05，具有显著性差导。本法起到了预防性治疗椎间盘术后椎间隙感染的作用。Intervertebral infection is a rare but serious complicaton, accompanying rescction of nucleus pulposus of lumbar intervertebral disc. It is difficult to be treated clinicdlly with unsatisfying prognosis. The key problem leading to intervertebral infection migth be the high pressure in intervertebral space caused by inactive remaining tissue and hematoma. According to the theory of intervertebral space decompression, 154 cases with prolapse of lumbar intervertebral disc were satisfactorily treated by extended windowing of annulus fibrosus, without intervertebral infection in any case. While among 458 paTients treated with traditional operation, the postopcrative intervertebral infection was happened in 13 cases. The difference between these two methods is significant (P<0. 05). Thus, the new method plays an important role in preventing intervertebral infection.

关 键 词：纤维环开窗术 腰椎间盘 预防 术后感染 

分 类 号：R687.3[医药卫生—骨科学]