OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative in...OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative infection were analysed retrospectively. RESULTS: All 15 cases underwent spinal posterior fusion with autologous bone graft using instrumentations. Seven were diagnosed as early infection, and 8 were delayed infection. Radical debridement was performed in all 15 cases. The duration of antibiotics administration was 10 to 34 days with continuous closed irrigation for 2 to approximately 4 weeks and primary closure for the wounds. All patients were followed up for an average of 3.5 years (2 to 7.5 years) with good outcomes and no recurrence. CONCLUSION: Wound infection following surgical correction of scoliosis primarily results from intraoperative seeding, although host-related and operation-related factors may contribute to its development. Once the infections are diagnosed, good results can be achieved by prompt surgical debridement, irrigation and reasonably administered antibiotics. Removal of hardware may be necessary in deep infections.展开更多
本文报告颗粒型急性淋巴细胞白血病(GALL)16例的细胞形态、细胞化学及临床特点。从确诊急性淋巴细胞白血病(ALL)患者的初诊时骨髓涂片274份中发现 GALI 16例(5.8%)。在 FAB 亚型的检出率 L_1为8.7%,L_23.3%,L_316.7%。男女之比为15∶1,...本文报告颗粒型急性淋巴细胞白血病(GALL)16例的细胞形态、细胞化学及临床特点。从确诊急性淋巴细胞白血病(ALL)患者的初诊时骨髓涂片274份中发现 GALI 16例(5.8%)。在 FAB 亚型的检出率 L_1为8.7%,L_23.3%,L_316.7%。男女之比为15∶1,成人多见,患者的血小板减少不显著,其余的临床指标及预后均无显著性差异。颗粒型原幼淋巴细胞(GLB)的面积较大,胞浆内颗粒嗜苯胺蓝,直径0.5～1.8μ,不被细胞化学染料着色,大多在10颗以内,分布于胞浆丰富一侧。展开更多
文摘OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative infection were analysed retrospectively. RESULTS: All 15 cases underwent spinal posterior fusion with autologous bone graft using instrumentations. Seven were diagnosed as early infection, and 8 were delayed infection. Radical debridement was performed in all 15 cases. The duration of antibiotics administration was 10 to 34 days with continuous closed irrigation for 2 to approximately 4 weeks and primary closure for the wounds. All patients were followed up for an average of 3.5 years (2 to 7.5 years) with good outcomes and no recurrence. CONCLUSION: Wound infection following surgical correction of scoliosis primarily results from intraoperative seeding, although host-related and operation-related factors may contribute to its development. Once the infections are diagnosed, good results can be achieved by prompt surgical debridement, irrigation and reasonably administered antibiotics. Removal of hardware may be necessary in deep infections.
文摘本文报告颗粒型急性淋巴细胞白血病(GALL)16例的细胞形态、细胞化学及临床特点。从确诊急性淋巴细胞白血病(ALL)患者的初诊时骨髓涂片274份中发现 GALI 16例(5.8%)。在 FAB 亚型的检出率 L_1为8.7%,L_23.3%,L_316.7%。男女之比为15∶1,成人多见,患者的血小板减少不显著,其余的临床指标及预后均无显著性差异。颗粒型原幼淋巴细胞(GLB)的面积较大,胞浆内颗粒嗜苯胺蓝,直径0.5～1.8μ,不被细胞化学染料着色,大多在10颗以内,分布于胞浆丰富一侧。
