腰椎间盘术后椎间盘炎与早期活动的相关性(附16例报告)

The correlation between lumbar spondylodiscitis after lumbar disc surgery and early activities.

目的探讨腰椎间盘术后椎间盘炎与早期活动的相关性。方法对我院自1986年1月至2006年12月行腰椎间盘髓核摘除术1 223例患者的临床资料进行回顾性分析。结果术后2周以内下地活动椎间盘炎的发生率为2.0%,2周以后下地活动椎间盘炎发生率为0.2%,差异有统计学意义（P〈0.01）;保守治疗10例,3~7月（平均5.6月）治愈。手术治疗6例,术后症状迅速缓解。结论椎间盘炎与术后早期活动明显相关,建议椎间盘术后卧床时间大于2周。一经确诊,宜早期行病灶清除术,可迅速缓解症状,减轻痛苦,缩短病程,并可避免免疫治疗的并发症。

Objective To investigate the correlation between lumbar spondylodiscitis after lumbar disc surgery and early activities.Methods The clinical data of 1 223 patients treated by lumbar disc surgery from January 1986 to December 2006 were retrospectively analyzed.Results The occurrence of discitis was 2.0% in patients having ambulation within 2 weeks after discectomy and 0.2% 2 weeks after discectomy（P0.01）.Ten cases received conservative treatment,and 6 surgical treatment.Conclusion Discitis was significantly correlated with early activity after discectomy.Therefore,we recommend bed rest time after discectomy should be more than 2 weeks.Once discitis is diagnosed,debridement should be performed as early as possible,which can rapidly alleviate the symptoms and can avoid complications from immunotherapy.