脊柱手术后切口感染15例治疗体会

The Treatment of 15 Patients with Incision Infection after Spinal Surgery

目的探讨脊柱手术后切口感染的治疗方法。方法对15例脊柱手术后感染病例给予切开引流,彻底清创及内固定取出、灌洗引流术,辅以敏感抗生素静脉滴注。结果随访6～24个月,14例切口全部愈合,优12例,良2例,差1例,优良率为93.3%。结论病灶尽早切开引流,行内固定取出、清创、灌洗引流术,辅以敏感抗生素静脉滴注治疗脊柱手术后切口感染,疗效可靠。

Objective To investigate the treatment strategy of incision infection after spinal surgery.Methods 15 patients with incision infection after spinal surgery underwent incision and drainage,complete lesion debridement,internal inplant dislodgment removal surgery,irrigation drainage,and sensitive intravenous antibiotics.Results All the patients were followed up for 6 to 24 months,14 incisions healed.Among those,12 were excellence,and 2 were effective,and 1 with tuberculosis infection turned worse,and the excellent and good effect rate was 93.3%.Conclusion It is an effective method to treat the infection with the combined different methods,including incision and drainage,internal fixation removal surgery,debridement,lesion irrigation drainage,and sensitive intravenous antibiotics.