脊柱術后急性深部組織感染的治療策略_《華西醫學》

作者：

張戈 ¹ , 馮大雄 ² , 鄒榆平 ¹ , 孫建中 ¹ , 龍海波 ² , 周慶忠 ²

1. 瀘州市人民醫院骨科（四川瀘州，646000） 2. 瀘州醫學院附屬醫院脊柱外科;

關鍵詞：

脊柱手術后并發癥軟組織感染早期診斷治療學

DOI：

10.7507/1002-0179.20130131

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目的　總結脊柱術后急性深部組織感染的臨床表現、易感因素及治療策略。方法　對2009年1月－2010年1月7例脊柱術后急性深部組織感染患者，及時采用清創、持續沖洗引流及抗生素治療的臨床資料進行回歸性分析。結果　 7例患者經過11～29 d治療后獲得臨床治愈，出院后隨訪4周原有癥狀均未再次出現。結論　脊柱術后急性深部組織感染是罕見且嚴重的并發癥，早期診斷及及時治療可取得滿意的療效。

引用本文： 張戈,馮大雄,鄒榆平,孫建中,龍海波,周慶忠. 脊柱術后急性深部組織感染的治療策略. 華西醫學, 2013, 28(3): 415-417. doi: 10.7507/1002-0179.20130131 復制

1.	Rechtine GR, Bono PL, Cahill D, et al. Postoperative wound infection after instrumentation of thoracic and lumbar fractures[J]. J Orthopaedic Trauma，2001，8(15): 566-569.
2.	Moe JH, Gustilo R. Cast correction and spine fusion in scoliosis[J]. J Bone Joint Surg, 1964，46: 293-312.
3.	Lonstein JE, Winter RB, Gaines D. Wound infection with harrington instrumentation and spine fusion for scoliosis[J]. Clin Orthop Rel Res, 1973, 10(96): 222-233.
4.	Michael T, Rohmiller BA. Raiszadeh AK, et al. Closed suction irrigation for the treatment of postoperative wound infections following posterior spinal fusion and instrumentation[J]. J Spine, 2010, 35(6): 642-646.
5.	Hong HS, Chang MC, Liu CL et al. Is aggressive surgery necessary for acute postoperative deep spinal wound infection[J]. Spine, 2008, 33(22): 2473-2478.
6.	Massie JB, Heller JG, Abitbol JJ, et al. Postoperative posterior spinal wound infections[J]. Clin Orthop Relat Res， 1992，12(284): 99-108.
7.	田永剛, 江毅, 肖聯平, 等. 脊柱術后感染的治療策略[J]. 中國脊柱脊髓雜志, 2009, 19(9): 717-718.
8.	Benzel EC. Medical complications[M]//Benzel EC. Spine surgery techniques, complication, avoidance, and management. Philadelphia: Elsevier/Churchhill Livingstone, 2005: 2014-2015.
9.	Picada R, Robert B, John E, et al. Postoperative deep wound infection in adults after posterior lumbosacral spine fusion with instrumentation: incidence and management[J]. J Spin Disor, 2000, 13(1): 42-45.
10.	Ho C, Skaggs DL, Weiss JM, et al. Management of infection after instrumented posterior spine fusion in pediatric scoliosis[J]. Spine, 2007, 32(24): 2739-2744.
11.	Beiner JM, Grauer J, Kwon BK, et al. Postoperative wound infections of the spine[J]. Neurosurg Focus, 2003, 15(3): 14-24.

1. 　Rechtine GR, Bono PL, Cahill D, et al. Postoperative wound infection after instrumentation of thoracic and lumbar fractures[J]. J Orthopaedic Trauma，2001，8(15): 566-569.
2. 　Moe JH, Gustilo R. Cast correction and spine fusion in scoliosis[J]. J Bone Joint Surg, 1964，46: 293-312.
3. 　Lonstein JE, Winter RB, Gaines D. Wound infection with harrington instrumentation and spine fusion for scoliosis[J]. Clin Orthop Rel Res, 1973, 10(96): 222-233.
4. 　Michael T, Rohmiller BA. Raiszadeh AK, et al. Closed suction irrigation for the treatment of postoperative wound infections following posterior spinal fusion and instrumentation[J]. J Spine, 2010, 35(6): 642-646.
5. 　Hong HS, Chang MC, Liu CL et al. Is aggressive surgery necessary for acute postoperative deep spinal wound infection[J]. Spine, 2008, 33(22): 2473-2478.
6. 　Massie JB, Heller JG, Abitbol JJ, et al. Postoperative posterior spinal wound infections[J]. Clin Orthop Relat Res， 1992，12(284): 99-108.
7. 　田永剛, 江毅, 肖聯平, 等. 脊柱術后感染的治療策略[J]. 中國脊柱脊髓雜志, 2009, 19(9): 717-718.
8. 　Benzel EC. Medical complications[M]//Benzel EC. Spine surgery techniques, complication, avoidance, and management. Philadelphia: Elsevier/Churchhill Livingstone, 2005: 2014-2015.
9. 　Picada R, Robert B, John E, et al. Postoperative deep wound infection in adults after posterior lumbosacral spine fusion with instrumentation: incidence and management[J]. J Spin Disor, 2000, 13(1): 42-45.
10. 　Ho C, Skaggs DL, Weiss JM, et al. Management of infection after instrumented posterior spine fusion in pediatric scoliosis[J]. Spine, 2007, 32(24): 2739-2744.
11. 　Beiner JM, Grauer J, Kwon BK, et al. Postoperative wound infections of the spine[J]. Neurosurg Focus, 2003, 15(3): 14-24.

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脊柱術后急性深部組織感染的治療策略

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《華西醫學》

脊柱術后急性深部組織感染的治療策略

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