脉冲冲洗枪在单节段腰椎后路椎体间融合术中的应用  

Application of one-level posterior lumbar interbody fusion with Surgi Lav Plus Irrigation System

作　　者：齐鹏[1] 王征[1] 刘保卫[1] 宋凯[1] 张永刚[1] 王岩[1] 崔赓[1] 

机构地区：[1]解放军总医院骨科,北京100853

出　　处：《中国骨与关节杂志》2015年第9期717-719,共3页Chinese Journal of Bone and Joint

摘　　要：目的对比脉冲冲洗枪与传统冲洗方法在单节段腰椎后路椎体间融合术(posterior lumbar interbody fusion,PLIF)手术中应用后的相关指标,评价脉冲冲洗枪对于单节段PLIF手术的有效性。方法将2013年1月至2014年11月共82例行单节段PLIF手术的患者,采用随机数字表法分为两组,研究组切口关闭前使用脉冲冲洗枪进行冲洗,对照组使用传统冲洗方法进行冲洗。比较两组患者术后连续3天体温、引流,连续3次血清学白细胞、C-反应蛋白(C-reactive protein,CRP)、红细胞沉降率(erythrocyte sedimentation rate,ESR)及术后出院天数的差异。结果两组患者术后连续3天体温、引流,连续3次血清学白细胞、CRP、ESR及术后出院天数的差异无统计学意义(P>0.05)。结论在单节段PLIF手术中,脉冲冲洗枪显示出较低的效价比,按照现代无菌原则进行操作,脉冲冲洗枪可以选择性使用,并非必需。Objective To evaluate the clinical application and effects of SurgiLav Plus Irrigation System in the treatment of one-level posterior lumbar interbody fusion （ PLIF ）.Methods From January, 2013 to November, 2014, 82 patients after one-level PLIF were divided into 2 groups under randomized method. SurgiLav Plus Irrigation System was applied in the study group before incision closure, while traditional method in the control group. Temperature and blood loss （ drain ） in consecutive 3 days postoperatively, serological leukocytes in consecutive 3 times postoperatively, C- reactive protein （ CRP ）, erythrocyte sedimentation rate （ ESR ） and postoperative hospital stay were recorded and compared in both groups.Results There were no signiifcant differences between the study group and the control group in the index analyzed above （P〉0.05 ）.Conclusions In one-level PLIF surgery, SurgiLav Plus Irrigation System shows lower cost-effects ratio. According to modern aseptic principle, SurgiLav Plus Irrigation System is an alternative option rather than necessary.

关 键 词：腰椎 脊柱融合术 治疗结果 脉冲射频术 

分 类 号：R687.3[医药卫生—骨科学]