腰椎间盘术后椎间隙感染诊治的分析探讨

Diagnosis and Treatment of Postoperative Intervertebral Discitis of Lunbar Intervertebral Disk Herniation

目的:探讨腰椎间盘术后椎间隙感染的诊断特点和治疗方法。方法:回顾1994年至今,腰椎间盘术后病人1995例,其中发生椎间隙感染18例,分析其临床表现、实验室检查、影像学特点,非手术治疗11例,手术治疗7例。结果:18例 患者经过10月～5年随访,11例恢复工作,2例有腰痛和活动受限,3倒不能胜任体力劳动,1例生活自理困难。结论:根据临床表现及辅助检查作出正确的诊断,早期及时的有效治疗是关键。

Objective: To investigate the diagnosis and treatment of postoperative intervertebral discitis of lunbar intervertebral disk herniation. Methods: From 1994 to now, 18 cases of the 1995 operative patients complicated the intervertebral discitis. These cases were analysed retrospectively, including the symptom, laboratory examination and radiographic images. Conservative treatment was used for 11 cases, and re-operation for 7 cases. Results: 18 cases were in following up for 10 months-5 years. 11 cases restored to normal, 2 cases remained pain in lumbar and mobile limitation, 3 cases were unable to do physical work and only one cases could not care himself. Conclusion: According to the symptom and auxiliary examination of laboratory and radiographic images, making accurate diagnosis and effective treatment is the most important thing.