脊柱术后手术部位感染相关因素及预防研究进展

Research Progress of Related Factors and Prevention of Surgical Site Infection after Spinal Surgery

现代脊柱手术技术的日益进步使得越来越多的脊柱病患得到了有效治疗,然而随着脊柱手术的广泛开展及相关操作复杂性的逐渐提升,包括手术部位感染(SSI)在内的诸多术后并发症已成为影响脊柱病患预后的重要因素。国内外现存文献中对SSI影响因素及预防的观点复杂多样,但部分观点仍存在争议且缺乏概括性。故本文拟从患者自身因素、手术操作及病原体特征等三个方面对脊柱术后SSI常见影响因素与预防措施做出系统阐述,旨在为临床诊疗提供可靠的依据和及时有效的预防措施,从而改善脊柱术后患者的生活质量。

With the development of modern spinal surgery techniques, more and more patients with spinal diseases have been effectively treated. However, with the increasing prevalence and complexity of spinal surgery, many postoperative complications, including surgical site infection (SSI), have be-come an important factor affecting the prognosis of patients with spinal diseases. Based on relevant literature, reports at home and abroad, this paper will systematically elaborate on the common in-fluencing factors of SSI after spinal surgery and its preventive measures from three aspects, includ-ing the patient’s factors, surgical operation factors, and pathogen characteristics, to provide the re-liable basis and timely and effective preventive measures for clinical diagnosis and treatment. It can improve the quality of life and relieve the pain of patients after spinal surgery.