经皮穿刺旋切术治疗腰椎间盘突出症术后椎间隙感染的疗效  

Treatment effect of percutaneous directional coronary atherectomy to intervertebral space infection after operation of lumbar disc herniation

作　　者：王猛[1] 贾建卿[1] 费艳艳[1] 

机构地区：[1]胜利石油管理局机厂卫生院,山东东营257067

出　　处：《中华医院感染学杂志》2014年第11期2788-2789,2792,共3页Chinese Journal of Nosocomiology

基　　金：高等学校博士学科点专项科研基金资助项目(200800011041)

摘　　要：目的探讨经皮穿刺旋切术治疗腰椎间盘突出症术后椎间隙感染的临床疗效，为临床治疗椎间隙感染提供参考。方法将12例腰椎间盘突出症术后椎间隙感染患者给予经皮穿刺旋切术治疗，观察其临床治疗效果，采取SPSS19．0统计软件进行数据分析。结果12例腰椎间盘突出症术后椎间隙感染患者病原菌有金黄色葡萄球菌、表皮葡萄球菌及大肠埃希菌，分别占50．0％、33．3o．4、16．7％；持续冲洗的时间为4～7d，平均（5．7±1．2）d；治疗后患者均表现有轻度的腰痛，并在术后3～4d症状完全缓解，其体温也在术后4d恢复正常水平；住院时间11～27d，平均（18．3±1．8）d；平均随访时间为（22．3±2．3）月，患者的腰疼等临床症状均未见复发，且术后x线检查其椎间隙变窄和模糊，而椎体前缘出现有骨桥的形成。结论临床中对于腰椎间盘突出症术后椎间隙感染，采取经皮穿刺旋切术治疗是可行的，整个操作简单、创伤较小，能够有效的缓解患者的临床症状，值得临床中应用。OBJECTIVE To discuss the clinical efficacy of percutaneous directional coronary atherectomy in the treatment of lumbar intervertebral disc herniation postoperative intervertebral space infection, to provide the reference for the clinical treatment of intervertebral space infection. METHODS A total of 12 cases of patients with intervertebral space infection after operation of lumbar disc herniation were treated with percutaneous atherectomy treatment in our hospital from Jan. and clinical therapeutic effect were observed. SPSS19.0 software was used for data analysis. RESULTS Through the analysis of bacterial culture, infection pathogens among the 12 patients with intervertebral space infection after operation of lumbar disc herniation were Staphylococcus aureus, Staphylococ- cus epiderrnidis and Escherichia coli, accounting for 50%, 33.3% and 16.7% respectively. Continuous washing time was 4~7 days; and the average time was （5.7±1.2） days. After treatment, patients were shown to have a mild sense of pain, and complete remission of symptoms in 3-4 days, and the body temperature returned to normal level 4 days aftei＂ surgery. The hospitalization time was 11-27 days, average （18. 3 ± 1.8） days. The average follow-up time was （22. 3± 2. 3） months. Back pain or other clinical symptoms was no recurrence, and postoperative X-ray examination of the intervertebral space was narrowing and fuzzy, and anterior vertebral body formed bone bridge. CONCLUSION Using percutaneous directional coronary atherectomy to treat intervertebral space infection after operation of lumbar disc herniation in clinical treatment is feasible with simple operation, small trauma, which can effectively relieve the clinical symptoms of patients and is worthy of clinical application.

关 键 词：腰椎间盘突出症 椎间隙感染 经皮穿刺旋切术 

分 类 号：R619.3[医药卫生—外科学]