手术治疗腰椎间隙感染前后入路的探讨

Exploration in Treatment of Interlumbar infection by Operation through Anterior and Posterior Approach

目的:探讨前后入路手术治疗腰椎间隙感染的优点及适应征的选择。方法:对14例腰椎间隙感染采用经前后入路手术治疗的患者术后总结、随诊分析。结果:前入路操作较复杂,但症状缓解快,一期植骨愈合率高。后入路操作简单,症状缓解较慢,椎体间植骨较困难。结论:重型患者选用前入路病灶清除、一期植骨,轻型患者可采用后入路病灶清除术。

To explore the excellence and choice of indication in treating the interlumbar infection by operation through anterior and posterior approach. Methods: Summarization and analysis had been made in the 14 cases with interlumbar infection treated by operation through anterior and posterior approach. Results: The anterior approach was complicated, but relaxation of symptom was rapid and curative rate of bone transplantation by first intention was high. The posterior approach was simple, but relaxation of symptom was slow and bone transplantation was difficult. Conclusion: Focus elimination through anterior approach, bone transplantation by first intention was choice for light-type sufferer. The focus elimination through posterior approach was choice for heavy-type sufferer.