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腰椎间盘炎的预防及治疗

Treatment and Prevention of Postoperative Discitis

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【作者】 宋超敏赵吕国蔚芃吴青

【Author】 SONG Chao min,ZHAO Lv guo,WEI Peng,et al. Department of Orthopaedics,Affiliated Hospital of Northern Sichuan Medical College,Nanchong,Sichuan 637000

【机构】 川北医学院附院骨科川北医学院附院骨科 四川南充市637000四川南充市637000四川南充市637000

【摘要】 目的 :探讨术后腰椎间盘炎的预防及治疗。方法 :1992年 4月~ 2 0 0 2年 10月收治术后腰椎间盘炎 11例 ,L3、4 2例 ,L4、5 5例 ,L5 S14例。 6例经保守治疗 ,5例手术治疗。结果 :经 0 .5~ 10年随访 ,平均随访 4年 3个月 ,疗效满意。结论 :腰椎间盘炎是腰椎间盘手术后一种严重的并发症 ,只要发现及时 ,处理正确 ,可获得满意疗效。

【Abstract】 Objective: To discuss the diagnosis,treatment and prevention of postoperative discitis.Methods:From Apr. 1992 to Dec. 2002,eleven cases of postoperative discitis were encountered.The spinal segement involved included L 3,4 in two,L 4,5 in five and L 5 S 1 in four cases.Six patients were treated with antibiotics combined with bed rest and physiotherapy.Five cases underwent surgical treatment.Results:Of the eleven patients with postoperative discitis followed up from 0.5 year to 10 years,all were evaluated as excellent according to the Nakai scale.Conclusion:Most of the patients can be cured with conservative measures,when infection or symptoms is serious,surgical intervention is necessary and can get good results.

【关键词】 椎间盘炎椎间盘手术治疗
【Key words】 DiscitisIntervertebral discSurgical treatment
  • 【文献出处】 中国矫形外科杂志 ,The Orthopedic Journal of China , 编辑部邮箱 ,2003年23期
  • 【分类号】R681.53
  • 【被引频次】9
  • 【下载频次】68
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