胸腰椎后路内固定术后深部感染的研究进展  

Progress of postoperative infection after lumbar posterior surgery

作　　者：周孝聪 赵学凌[1] 雷宇[1] 杨鸿超 杨少茼 张源[1] Zhou Xiaocong;Zhao Xueling;LeiYu;Yang Hongchao;Yang Shaotong;Zhang Yuan(Department of Orthopaedics, the First Affiliated Hospital of Kunming Medical University, Kunming 650000, China)

机构地区：[1]昆明医科大学第一附属医院骨科,650000

出　　处：《中华老年骨科与康复电子杂志》2019年第1期54-57,共4页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：国家自然科学基金资助项目(81560366)

摘　　要：胸腰椎后路内固定术后深部感染作为脊柱外科最严重并发症之一,不仅延长住院时间、增加治疗费用,而且会显著增高感染相关的并发症发生率和死亡率。如何在保留内植物维持脊柱稳定的同时,又有效的控制感染,成为脊柱外科医生共同面临的严峻挑战。本研究就胸腰椎后路内固定术后发生深部感染的易感因素,术前积极采取相应措施以减少其对手术的影响,术中严格遵守无菌原则,术后密切观察患者各项指标,以及如何进行术后感染的及时诊断、选择适当的治疗方案等方面进行了详细介绍,以期为临床上降低感染率、提高治愈率提供参考。Deep infection after thoracolumbar posterior internal fixation is one of the most serious complications of spinal surgery, which not only prolongs hospitalization time, increases treatment costs, but also significantly increases the incidence of infection-related complications and mortality. How to maintain the stability of the spine while retaining the internal plants and effectively control the infection has become a serious challenge for spine surgeons. This study explained some relative deep infection factors, such as the susceptibility factors of deep infection after thoracolumbar posterior internal fixation, corresponding measures to reduce the impact on the operation, strict adherence to the principle of sterility during operation, and close observation of patients' indexes after operation, and timely diagnosis of postoperative infection, appropriate treatment plan, etc., expecting to provide a reference for clinical reduction of infection rate and improvement of cure rate.

关 键 词：腰椎 外科伤口感染 负压封闭引流技术 

分 类 号：R687.3[医药卫生—骨科学]