| 摘要: |
| ［摘要］ 目的 探讨腰椎后路内固定术后深部感染的临床特点和诊治方法。方法 分析腰椎内固定术后发生深部感染18例的临床特点，全部病例根据临床表现及切口B超检查，明确诊断，给予病灶清除，灌洗引流及保留内固定，敏感抗生素治疗。结果 腰部切口Ｂ超检查可早期发现术后感染；所有病例1周后腰部疼痛症状减轻，2周后腰部疼痛消除。结论 腰椎后路内固定术后深部感染，可通过早期诊断，彻底清创，灌注冲洗，有效抗生素应用，完全治愈。 |
| 关键词: 腰椎 内固定术 感染 灌注冲洗 |
| DOI：10.3969/j.issn.1674-3806.2010.03.23 |
| 分类号:R 681.5 |
| 基金项目: |
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| Diagnosis and treatment of deep infection after posterior lumbar internal fixation |
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HUANG Kai, LIAO Yong-fa, LI Zhen-hong,et al.
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Department of Orthopedics, Yulin Orthpaedic Hospital, Guangxi 537000,China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical characteristics, diagnosis and treatment of deep infection after posterior lumbar internal fixation.Methods The clinical characteristics of 18 cases of deep wound infection were analyzed. The diagnosis was established by clinical manifestation and B-ultrasound examination. Sensitive antibiotics, debridement and wound irrigation was used; the internal implantation were reserved.Results Lumbar incision B-ultrasound examination could help to early discover deep infection; back pain of all cases was relieved after one week, and disappeared after two weeks.Conclusion Through early diagnosis and complete debridement and irrigation and effective antibiotic use, deep infection after posterior lumbar internal fixation could be cured. |
| Key words: Lumbar vertebra Internal fixation Infection Irrigation |
