腰椎融合术后是否需要放置引流管的研究进展  

The research progresses on inserting a wound drain after lumbar fusion

作　　者：范宁[1] 藏磊[1] 杜鹏[1] 高艳军[1] 

机构地区：[1]首都医科大学附属北京朝阳医院骨科,100000

出　　处：《中国矫形外科杂志》2014年第17期1593-1596,共4页Orthopedic Journal of China

摘　　要：术后闭式引流系统已经得到广泛应用,但是它在骨科尤其是脊柱外科手术中的应用仍存在争议。腰椎融合术后放置引流管是否能够有效减少感染及硬膜外血肿的发生率并促进伤口愈合,目前仍不明确。作者在查阅近几年国内外相关文章后,发现在没有明显的致血肿形成危险因素如凝血功能障碍、术后抗凝治疗、二次手术等存在的情况下,单节段腰椎融合术后不放置引流管,并不会增加硬膜外血肿及感染的发生率,而对于多节段腰椎融合术,因其本身为致血肿形成的危险因素,仍需要做进一步研究。Inserting a wound drain has been widely used after surgery. But in orthopedics,its usage remains controversial,especially after spinal surgery. It is still not clear whether inserting a wound drain after lumbar fusion can effectively reduce the incidence of infection and epidural hematoma and then promote wound healing. This paper reviews the literature of drainage,and concludes that not inserting a wound drain after single segmental lumbar fusion surgery will not increase the risk of epidural hematoma and infection,if there are no apparent risk factors closely associated with hematoma such as coagulation dysfunction,postoperative anti-coagulation therapy,secondary operations,et al. Multiple segmental lumbar fusion,as one of the risk factors for hematoma formation,is still under further research to identify the association between such operation and a drain.

关 键 词：负压引流 硬膜外血肿 切口感染 腰椎融合术 

分 类 号：R687.3[医药卫生—骨科学]