超声导向双置管对冲引流术在脊柱内固定术后感染治疗中的应用价值  

The Value of Ultrasound-Guided Dual-Placement Tube Hedging Drainage in the Treatment of Postoperative Infection in the Operative Area After Spinal Internal Fixation

作　　者：杨光飞[1] 武雅婷 柯青兰[1] 常瑞姣 张效敏[1] Yang Guangfei;Wu Yating;Ke Qinglan;Chang Ruijiao;Zhang Xiaomin(Department of Ultrasound,General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院超声科,银川市750004

出　　处：《中国超声医学杂志》2024年第6期709-712,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 探讨超声引导下双置管对冲引流在脊柱内固定术后术区感染治疗中的应用价值。方法 选取16例行超声引导下双置管冲洗引流术患者纳入试验组;收集同期16例对脊柱术区感染灶行切开清创灌注引流术患者作为对照组,并进行对比。对比分析两组临床疗效、体温恢复时间、换药次数、拔管时间、创面愈合时间、患者满意度。同时,回顾性分析32例患者的年龄、感染灶大小、是否有分隔、是否合并感染性休克对拔管时间及创面愈合时间的影响。结果 试验组与对照组临床治疗总有效率为87.5%、81.25%,差异无统计学意义(P>0.05);试验组的治疗后体温恢复时间、拔管时间、创面愈合时间与对照组差异无明显统计学意义(P>0.05)。二者换药次数、患者满意度比较差异有统计学意义(P<0.05),试验组的换药次数更少,患者满意度更高。32例患者的拔管时间在年龄、感染灶大小、是否合并感染性休克方面差异未见统计学意义;在感染灶是否有分隔上有统计学意义(P<0.05);愈合时间在感染灶大小上无显著差异,在年龄、是否有分隔、是否合并感染性休克方面有显著差异(P<0.05)。结论 超声导向双置管对冲引流在脊柱内固定术后术区感染的治疗中临床疗效确切,具有创伤小、经济、安全、患者满意度高等优点,可作为脊柱术后术区感染保守治疗的有效补充手段。Objective To explore the value of ultrasound-guided dual-placement of tubes for hedging drainage in the treatment of postoperative area infection after internal spinal fixation surgery.Methods Sixteen patients who un-derwent ultrasound-guided dual catheterization irrigation and drainage were selected as the experimental group.At the same time,16 patients who were treated with conventional incision and drainage were collected as the control group.The clinical efficacy,body temperature recovery time,number of dressing changes,tube removal time,wound healing time,and patient's satisfaction were compared between the two groups.At the same time,the effect of age,size of focal infection,whether there was separation,and whether there was a complication of infectious shock on the extubation time and wound healing time of 32 patients were retrospectively analyzed.Results The total effective rate of treatment in the experimental group and the control group was 87.5%and 81.25%,respectively,and the differ-ence was not statistically significant(P>0.05);the post-treatment temperature recovery time,extubation time,and wound healing time of the experimental group were smaller than those of the control group,but there was no signifi-cant statistical difference(P>0.05).Comparison of the number of dressing changes and patient satisfaction in the two groups showed statistically significant dfferences(P<0.05),with the experimental group having fewer dressing changes and higher patient satisfaction.The extubation time of 32 patients did not show significant differences in age,size of focal infection,and whether or not they were combined with infectious shock;there was a statistically signifi-cant difference in whether or not the focal infection were segregated(P<0.05);the healing time did not show any significant difference in the size of the focal infection,but there was a statistically significant difference in age,whether or not there was separation,and whether or not they were complicated with infectious shock(P<0.05).Conclusions

关 键 词：超声导向 双置管 对冲引流 脊柱内固定 术后感染 

分 类 号：R445.1[医药卫生—影像医学与核医学] R687.3[医药卫生—诊断学]