脊柱内固定术后感染的研究  

Study on post-operative infection of spinal internal fixation surgery

作　　者：李朝顶[1] 许立[1] 

机构地区：[1]苏州大学第一临床学院骨科,215006

出　　处：《中国基层医药》2003年第6期526-527,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的　探讨脊柱内固定术后感染的危险因素及围手术期处理对感染的预防作用。方法　回顾性分析 186例脊柱内固定手术病人手术部位、手术时间、失血量及围手术期抗生素的使用等因素对术后感染的影响。结果　 186例病人术后感染发生率为 4 30 % (8/ 186 ) ,颈椎、胸椎、腰椎部位手术术后感染发生率依次为 1 5 1%、14 2 9%、3 2 6 % ;手术时间 6 0min以内、6 0min～和 12 0min～术后感染发生率依次为 1 2 2 %、3 0 3%和 13 16 % ;术中失血量 5 0ml～、4 0 0ml～和 80 0ml～术后感染发生率依次为 2 15 %、3 33%和12 12 % ;术中使用抗生素 ,术中和术后使用抗生素 ,术前、术中和术后均使用抗生素术后感染发生率分别为1 2 0 %、4 4 8%、11 11%。结论　脊柱内固定术后感染的发生与手术部位、手术时间、失血量有关 ,以胸椎部位手术术后感染发生率较高 ,手术时间越长、失血量越多术后感染越易发生 ,围手术期抗生素的使用可有效减少感染的发生。Objective To study the risk factors and preventive methods of post-operative infection of spinal internal fixation surgery.Methods The operation site,operation time,blood lose and antibiotics administration in 186 patients underwent internal fixation surgery were analyzed retrospectively.Results The post-operative infection rate of the patients was 4.30%(8/186),and the infection rates of the patients operated in cervical,thoracic and lumbar were 1.51%,14.29% and 3.26% respectively.When the operation time were less than 60min,more than 60min and 120min,the infection rates were 1.22%,3.03% and 13.16% respectively.Administration of antibiotics in operation,both in operation and post-operation,and in pre-operation,operation and post-operation,the infection rates were 1.20%,4.48% and 11.11%,respectively.Conclusion The occurrence of post-operative infection of spinal internal fixation surgery was related to operation site,operation time and blood lose,and antibiotics may be an effective method for prevention of infection.

关 键 词：脊柱内固定术 术后感染 危险因素 围手术期 预防 抗生素 手术时间 

分 类 号：R687.3[医药卫生—骨科学] R619.3[医药卫生—外科学]