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术后腰椎间盘炎的临床特点和手术治疗探讨
引用本文:刘伟东,吕国华,王冰. 术后腰椎间盘炎的临床特点和手术治疗探讨[J]. 中国现代手术学杂志, 2009, 13(1)
作者姓名:刘伟东  吕国华  王冰
作者单位:中南大学湘雅二医院脊柱外科,长沙,410011
摘    要:目的探讨术后腰椎间盘炎临床特点及外科手术治疗方法。方法23例近期内接受过腰椎间盘手术或介入性治疗的继发性椎间盘炎患者,行前路病灶清除自体髂骨植骨融合术21例,另2例因感染蔓延到椎管行前路病灶清除自体髂骨植骨融合及后路病灶清除加灌洗引流术。结果所有患者术后症状均有缓解,术后1月内血沉基本恢复正常。术后随访9~24个月,所有患者植骨均融合。结论结合术后腰椎间盘炎患者的临床表现,实验室检查及影像学结果可以作出诊断,早期手术治疗可以取得明显的效果。

关 键 词:椎间盘炎  手术后并发症

Clinical Characteristics and Surgical Treatment of Postoperative Discitis
LIU Wei-dong,LV Guo-hua,WANG Bing. Clinical Characteristics and Surgical Treatment of Postoperative Discitis[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(1)
Authors:LIU Wei-dong  LV Guo-hua  WANG Bing
Affiliation:LIU Wei-dong; LV Guo-hua; WANG Bing(Department of Spine Surgery; Second Xiangya Hospital; Central South University; Changsha 410011; Hunan; China);
Abstract:Objective To discuss the clinical characteristics and surgical methods of postoperative discitis.Methods 23 cases with secondary discitis due to lumbar disc surgery or interventional therapy lately were analyzed retrospectively.Among them,21 were treated by anterior debridement and autogenous iliac graft fusion,the other 2 cases were found vertebral canal infected and performed the anterior debridement and autograft iliac bone fusion,posterior debridement and lavagation.Results The symptomes were improved,a...
Keywords:discitis  postoperative complications
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