【摘要】 目的探讨椎弓螺钉系统内固定术治疗下腰椎病变后急性感染的临床治疗效果。方法选择2009年1月-2010年4月收治的38例下腰椎病变行椎弓螺钉系统内固定过程中引发间隙急性感染患者,作为感染组,同一时期收治的57例下腰椎病变行椎弓螺钉系统内固定术后恢复良好的患者为非感染组,将两组患者的临床表现、诊断依据、治疗方法以及预后各项指标进行对比分析。结果急性感染患者经治疗后,患者的伤口均呈较好愈合度,未再次出现红肿、渗出等症状;38例患者,除有1例患者失访外,其余37例患者随访1年,感染组优良率为91.89%,非感染组的优良率为92.98%,两组比较差异无统计学意义。结论行病灶切开引流、病灶清创缝合、内固定取出术,辅以敏感的抗菌药物静脉滴注,治疗下腰椎病变椎弓螺钉系统内固定术后急性感染,是一种较为有效的临床治疗手段。更多还原

【Abstract】 OBJECTIVE To investigate the effect of the clinical treatment of acute infection under the lumbar spine after pedicle screw system.METHODS A total of 38 patients were treated under the lumbar spine in patients with pedicle screw system during the course of acute infection caused by the gap from Jan 2009 to Apr 2010.Towards the infected group,according to the time of infection,the different clinical treatment methods were given.57 cases treated in the same period under the lumbar pedicle screw system variable line fixed after a good recovery in patients were set as non-infected group.The patient’s clinical manifestations,diagnosis,treatment and prognosis of non-infected group of the indicators were analyzed.RESULTS After treatment,patients with acute infection,the patient showed better wound healing degrees,no recurrence of swelling,leaking and other adverse symptoms,and other discomfort.38 patients,1 patient lost,its 37 patients were followed up for 1 year,infection rate was 91.89% good,the fine non-infected group was 92.98%,two groups had no significant difference.CONCLUSION The lesions incision and drainage,lesion debridement,internal fixation removal surgery combined with intravenous antibiotics,sensitive treatment of lumbar pedicle screw system for acute postoperative infection is a more effective clinical treatment.更多还原