后路手术对腰椎间盘术后椎间隙感染的疗效分析

Analysis of curative effect of posterior approach in patients with intervertebral infection after lumbar disc surgery

目的：探讨脊柱后路椎间盘镜手术在腰椎间盘术后发生椎间隙感染患者中的应用及其对生活质量的影响。方法选取我院2012年1月～2013年7月，收治的腰椎间盘突出症术后发生椎间隙感染的50例患者为研究对象，随机分为A组与B组，A组患者使用脊柱后路椎间盘镜手术，B组患者使用保守治疗方法。比较两组患者各项临床指标及疾病相关生活质量之间的差异。结果A组患者临床治疗有效率（92.00%）显著高于B组（64.00%），A组患者疼痛水平低于B组，A组CRP和ESR分别为（7.79±2.27）ng/d和（21.11±5.49）mm/h， B组为（19.30±4.16）ng/d和（37.70±5.07）mm/h，A组显著低于B组（P＜0.05），A组心理症状水平、躯体症状水平和社会功能障碍三项评价患者疾病相关生活质量的指标分别为（83.37±5.84）、（80.36±6.69）和（84.75±5.24），B组分别为（78.36±6.21）、（76.63±4.30）和（79.47±5.03），A组显著高于B组（P＜0.05）。结论脊柱后路椎间盘镜手术在腰椎间盘术后发生椎间隙感染的患者治疗中发挥积极作用，其不仅可提高患者临床治疗效果，还可有效改善患者生活质量。

Objective To analyze the application and the life quality effect of spinal posterior approach diskoscope operation in patients with intervertebral infection after lumbar disc surgery. Methods 50 patients with intervertebral infection after lumbar disc surgery,who were treated in our hospital from January 2012 to July 2013,were selected as the research objects,were randomly divided into A group who were treated with spinal posterior approach diskoscope operation and B group who were treated with conservative treatment methods.To compare the differences of each clinical index and disease-related life quality between the two groups. Results The effective rate of clinical treatment in A group（92.00%）was obviously higher than which in B group（64.00%）,patients＇ paln level in A group was lower than which in B group,CRP and ESR in A group of（7.79±2.27）ng/d and（21.11±5.49）mm/h were obviously lower than which in B group of（19.30±4.16）ng/d and（37.70±5.07）mm/h,the differences were statically significant （P 〈 0.05）.The index of disease-related life quality of psychological symptom level,somatic symptoms level,social dysfunction in A group of （83.37±5.84）,（80.36±6.69）,and （84.75±5.24）were obviously higher than which in B group of （78.36±6.21）,（76.63±4.30）,and （79.47±5.03）,the differences were statically significant （P〈0.05）. Conclusion Spinal posterior approach diskoscope operation has positive role in the treatment of patients with intervertebral infection after lumbar disc surgery,not only could increase patients’clinical curative effect,but also could effectively improve patients＆#39; life quality.