脊柱内固定术后耐甲氧西林金黄色葡萄球菌感染的研究进展

Research progress of methicillin-resistant Staphylococcus aureus infection after spinal internal fixation surgery

脊柱内固定术常用于治疗椎管狭窄、脊柱侧弯以及椎体滑脱等各类脊柱疾病。随着脊柱外科手术技术的不断进步以及内固定材料的发展,脊柱内固定术的手术量逐年增加。目前尽管手术无菌条件有了很大进步,但脊柱术后感染仍是脊柱内固定术后影响患者治愈率和生存率的一个不可忽视的问题,尤其是脊柱内固定术后耐甲氧西林金黄色葡萄球菌(MRSA)感染,不仅增加了医疗费用及患者身心负担,而且可能导致内固定术的失败,甚至威胁患者生命。本文对脊柱内固定术后MRSA感染的治疗及预防措施等相关问题进行综述。

Spinal internal fixation surgery is often used to treat spinal diseases such as spinal stenosis,scoliosis and spondylolisthesis.With the continuous progress of spinal surgery technology and evolution of internal fixation materials,the amount of spinal internal fixation surgery is increasing year by year.Although the current aseptic condition of surgery has made great progress,post-operative spinal infection is still a problem that can not be ignored,which affects the cure rate and survival rate of patients after spinal internal fixation surgery,especially methicillin-resistant Staphylococcus aureus(MRSA)infection after spinal internal fixation surgery,which not only increases the medical cost as well as physical and mental burden of patients,but also may lead to the failure of internal fixation surgery and even threaten life.This paper reviews the treatment and prevention of MRSA infection after spinal internal fixation surgery.