腰椎后路椎间融合（PLIF）术后深部感染手术治疗.pdfVIP

颈腰痛杂志2008年第 29卷第 6期 TheJournalofCervicodyniaandLumbodvnia2008，Vo1．29No．6 ·507 · · 临床 论 著 · 腰椎后路椎问融合(PLIF)术后深部感染 手术治疗 关凯，李放，单建林，赵广民 (北京军区总医院骨科，100700) 摘要：目的 探讨腰椎后路椎问融合 (PLII~’)术后深部感染的诊断 、治疗特点。方法 通过对 8 例PLIF术后深部感染的检查及手术治疗，总结诊断P【IF术后深部感染的敏感指标 、有效的治疗方 法。结果 血沉、CRP是诊断及监测PLIF术后深部感染的敏感化验指标；MRI对诊断急性感染有确 诊意义，对诊断慢性感染早期意义不大；内固定牢固者可以保留内固定，不影响对感染的治疗；神经 根刺激症状恢复不如腰痛症状恢复明显 ；所有病人经过规范治疗均在3个月内治愈。结论 PLIF术 后深部感染通过规范治疗，完全可以治愈，预后 良好 关键词：腰椎后路椎间融合；感染；手术治疗 中图分类号：R681．5 文献标识码 ：A 文章编号：1005—7234(2008)06—0507—04 Operative treatmentofpostoperative deep wound infection after posterior lumbar interbody fusion(PLIF) GUAN Kai，LIFang，SHAN Jian-lin．eta1． (DepartmentofOrthopedics，BeijingArrayingGeneralHospitalofBeijingAreaofPLA 100700，China) Abstract：Objective Toinvestigatethediagnosisandtreatmentcharacteristicofpostoperative deep wound infection afterposteriorlumbar interbody fusion (PLIF)．Methods 8 cases of postoperative deep wou~d infection after PLIF were treated．to conclude the keysand to diagnose and to treatthe postoperative deep wound infection after PLIF．Results The sensitive chemical examination index to diagnose and monitordeep wound infection afterPL1F were ESR and CRP； MR1wassignificanttoacuteinfection butnonm0nsignifjcantin early chronic infection．The steadily internalfixation could be reserved，notinfluence to the outcomeofinfection treatment．Therecovery ． ofnerve rootirritation is inferiorto low back pains．Through standard therapy，allpatientswere cure afterthree months．Conclusion Through standard therapy，the patientsofpostoperative deep wound infection afterPLIF could becured，the outcomeiswel1． Key words：posteriorlumbarinterbody fusion；infection；operative treatment 随着腰椎后路椎间融合内固定(PLIF)手术的广 腰 骶 间隙5例。PLIF融合均采用 自体减压骨打压推 泛开展，相关的并发症