负压封闭引流技术治疗脊柱后路内固定术后切口感染效果观察  

Negative pressure drainage technique in treatment of postoperative wound infection in patients with spinal posterior internal fixation

作　　者：裴立家 周新社[1] 李玉云[2] 

机构地区：[1]蚌埠医学院第一附属医院骨科,安徽蚌埠233000 [2]蚌埠医学院检验系

出　　处：《河北联合大学学报（医学版）》2015年第6期187-190,共4页Journal of North China Coal Medical College

基　　金：安徽省高等学校省级自然科学研究项目(编号:Kj2012A198)

摘　　要：1目的 探讨和评价负压封闭引流（vacuum sealing drainage,VSD）技术在脊柱内固定术后切口感染治疗中的临床疗效。2方法 回顾分析本院9例脊柱后路内固定术后切口感染患者。每例患者应用VSD技术治疗,同时应用敏感抗生素,彻底清创并保留内置物。创面经过1~3次清创予以VSD敷料覆盖,每次引流7~10d,根据引流情况更换VSD敷料。3结果 通过彻底清创,应用VSD处理创面联合抗生素治疗,3例患者经1次创面清创VSD应用,4例患者经2次创面清创VSD应用,2例患者经3次创面清创VSD应用,肉芽组织生长满意,缝合伤口。感染伤口治愈,内固定得以保留。4结论 VSD技术可有效控制脊柱后路内固定术后感染,利于伤口的早期愈合,内固定装置不需取出以维持脊柱稳定性。VSD技术治疗脊柱术后感染具有较好的临床疗效。Objective Evaluate vacuum sealing drainage（vacuum sealing drainage,VSD） technique in spinal internal fixation in the treatment of postoperative incision infection clinical curative effect. Methods Review and analysis of our hospital,during the period of 9 cases of postoperative incision in- fection in patients with spinal posterior internal fixation.Each patient used the VSD treatment technolo- gy and application of sensitive antibiotics at the same time, thorough debridement and keep implants. Wound 1-3 times after debridement,VSD dressing drainage of 7-10 days at a time,according to the drainage condition change the VSD dressings.Results Through thorough debridement, the application of VSD wound,with antibiotic therapy,three patients by 1 time wound debridement VSD application, 2 times of wound debridement VSD application in 4 patients,2 patients after wound debridement VSD ap- plication three times, satisfactory suture the wound granulation tissue growth.Infected wounds heal, re- tention of the internal fixation.Conclusion The VSD technique can effectively control postoperativeinfection, spinal posterior internal fixation for early wound healing, internal fixation device maintain thestability of the spine. The VSD technical treatment of spinal postoperative infection has better clinical curative effect.

关 键 词：负压封闭引流 脊柱 感染 内固定 

分 类 号：R74[医药卫生—神经病学与精神病学]