6例继发性腰椎间盘炎的手术治疗效果分析及预防措施探讨  

EVALUATION OF THE OPERATION OUTCOME OF 6 PATIENTS WITH SECONDARY LUMBAR DISCITIS AND DISCUSSION ON ITS PREVENTION

作　　者：赵兵[1] 陈利江[1] 王军[1] 尹振宇[1] 

机构地区：[1]四川绵阳市中心医院脊柱外科,绵阳621000

出　　处：《现代预防医学》2010年第1期184-185,187,共3页Modern Preventive Medicine

摘　　要：[目的]探讨继发性腰椎间盘炎的临床特点、手术治疗方法及预防。[方法]分析6例继发性腰椎间盘炎的临床表现、血沉、C-反应蛋白、影像学特点和细菌学培养结果;对患者采用同一手术入路行病灶清除、植骨融合、内固定治疗。[结果]腰椎有创治疗后,严重的疼痛、血沉加快、C-反应蛋白增加是继发性腰椎间盘炎的主要临床特点,在疾病早期MRI具有特征性表现。手术后症状快速缓解,无感染复发。[结论]必须重视继发性腰椎间盘炎的预防和早期诊断。手术能够快速地缓解症状、缩短病程,是有效的治疗方法。[Objective] To investigate the clinical characteristics and surgical treatment of the secondary lumbar discitis and its prevent. [Methods] Clinical characteristics,C-reactive protein （CRP）,erythrocyte sedimentation rate （ESR）,imaging features and bac terial culture were retrospectively analyzed in these 6 patients who were diagnosed as secondary lumbar discitis. Bone grafting and internal fixation was performed through the same approach of interbody fusion after radical debridment of intervertebral space. [Results] Severe lumbar back pain with increase of ESR and CRP was the major clinical characteristic. There were specific imaging features on MRI at the early stage of the disease. The clinical symptoms were relieved rapidly and no infection reoccured after the operation. [Conclusion] It is very important to the prevention and early diagnosis of secondary lumbar discitis. Surgical treatment can quickly relieve the clinical symptoms and shorten the course of the disease. It is an effective treatment.

关 键 词：腰椎 椎间盘炎 手术治疗 内固定 预防 

分 类 号：R681.5[医药卫生—骨科学]