腰椎间盘突出术后椎间隙感染治疗方法及效果探讨

The Investigation of Treatment Procedure And Effect of Discitis after Lumber Discectomy

目的探讨腰椎间盘突出术后椎间隙感染的治疗方法及效果。方法对一组腰椎间盘突出症术后发生椎间隙感染的患者病例资料进行分析,比较非手术、开放手术及微创介入等不同治疗方法的效果,初步探讨其发生原因及预防。结果腰椎间隙感染治疗中,三种方法均达到消除症状,恢复患者正常生活、工作状态的治疗效果。但非手术需治疗时效较长,药费大,症状缓解缓慢;开放手术与介入手段均可迅速缓解症状,改善病情,缩短治疗时间,与非手术治疗相比各观察指标间均有统计学意义(P<0.05),开放手术与介入治疗指标间无统计学意义(P>0.05)。结论早期手术可迅速缓解椎间盘炎症状,有效降低红细胞沉降率等指标,较非手术可明显缩短病程,降低费用,介入的方法是微创手术,具有更大优越性。

Objective To investigate the treatment procedure and effection of the discitis after lumber discectomy. Methods The data of a group of cases of discitis after lumber discectomy were analyzed. And the treatment effects of the nonoperation, operation and interventional therapy were compared. The cause and prevention agents were studied. Results The three methods above can achieve the purpose of symptom relieve, got the patients back to normal live and work. But compared to the operative and inteivention method,its had disadvantage of long lasting course,large cost, and a slow ameliorate speed, Operation and inerventional method had better result than nonoperation （ P 〈 0. 05 ）, and the latter was a less traumatic procedure. Conclusion Early operation and interventional therapy can effectively relieve the symptom, shorten the course of disease. The interventional therapy had more advantage.