脊柱术后手术区域感染的临床现状

Surgical site infection of spinal surgery: a review of current literatures

术后手术区域感染（surgical site infection,SSI）是脊柱术后早期最常见的医院获得性感染[1]。据报道,脊柱外科术后感染发生率为0.7%~16%,其主要的原因为不同的术式会产生不同的风险^（[2-5]）。虽然近年来预防性使用抗生素的同时,手术技术以及术后管理方面有了长足的进步,脊柱术后SSI依然是影响患者手术效果的重要因素[2]。一旦明确诊断为术后感染,应当积极采取措施进行治疗。目前,临床上应用的治疗方法包括清创、抗生素治疗、

Postoperative surgical site infection（ SSI） is the most common hospital-acquired infection in spine surgery. The incidence of postoperative SSI is related to the differences in the risk of different spinal operations. Even though great advantages have been achieved by the use of antibiotics during the perioperative period, postoperative SSI is still an important factor influencing the clinical outcomes. The increase in the knowledge about risk factors and prevention measures could do good to the improvement of the surgeons＇ overview of this kind of complication. This will greatly reduce the incidence of postoperative SSI. Once postoperative SSI is clearly diagnosed, treatment should be carried out positively. Nowadays the clinical treatment includes debridement, antibiotic therapy, closed irrigation system, vacuum-assisted closed wound drainage system, muscle flap coverage, antibiotic cement therapy and so on. Although all of these treatment methods aim to reduce the incidence in SSI in spinal surgery, there are still potential risks.