摘要
目的探讨脊柱手术后并发严重椎管内感染的原因及治疗措施。方法回顾性分析5例脊柱手术后并发严重椎管内感染的原因,5例中4例行切开清创引流术治疗,1例保守治疗,从中总结出预防措施及治疗方法。结果5例感染均获治愈,1例遗留双下肢运动、感觉功能轻度障碍。结论(1)椎管内感染是一种严重的术后并发症,应引起临床高度重视;(2)术前准备不充分,术中无菌观念不强,术后处理不当是引发椎管内感染的主要原因;明确原因,严于防范,才能防患未然;(3)患者卧床制动,全身支持治疗,大剂量敏感的可透过血脑屏障抗生素的应用及局部合理用药,尤其是伤口清创引流等综合处理才能避免严重后果。
Objective To study the causes and treatment of severe intraspinal canal infections after spinal operation. Methods Five cases of severe postoperative intraspinal canal infections were analysed retrospectively. Their causes, clinical courses were studied. The principle of prevention and treatment was summarized. Results All of the cases have good results except one had sequelae of mild disturbance of sensation and motion in both lower limbs. Conclusion 1)Intraspinal canal infection is one of the most severe postoperative complications. Preoperative preparation, aseptic techniques, intraoperative and postoperative treatments is of great importance to prevent severe intraspinal canal infections. 2) Bed rest, systemic support and large-dose of blood brain barrier permeable antibiotics is also very important to treat severe postoperative intraspinal canal infections.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
2002年第12期732-734,共3页
Chinese Journal of Orthopaedics
