脊柱术后伤口深部感染的处理

目的探讨脊柱术后深部感染的治疗措施。方法回顾性分析36例脊柱术后伤口感染患者的治疗经过。16例患者采取伤口清创换药,20例采取对口置管冲洗引流,从中总结合理的治疗方法。结果36例患者中34例获得治愈,2例死亡。对口置管冲洗组愈合时间较普通换药明显缩短。11例内固定术后伤口感染的患者9例内固定未取出。结论(1)脊柱术后伤口感染是一种严重的并发症,一旦发生应引起高度重视;(2)全身营养的支持,合理的应用抗生素,伤口对口置管冲洗引流是行之有效的方法;(3)内固定术后伤口感染,内固定取出不是治疗感染的必要条件。

Management of wound infection after spinal operation

Objective To elucidate the treatment of wound infection after spinal operation. Methods Thirty-six cases of wound infection after spinal operation were analyzed retrospectively. Sixteen cases had debridement and dressing changing, 20 cases had debridement and irrigation-suction system.Results Thirty-four cases had wound healed and 2 case dead of septicemia. Irrigation-suction had better result than that of only debridement. Among the 11 cases of internal fixation, 9 cases reserved the implants.Conclusion (1) Wound infection after spinal operation is a serious postoperative complication and should be treated carefully; (2) Nutrition support, reasonable antibiotic and irrigation-suction are effective methods; (3) When wound infection occurs, removing the implants out is not indispenseble.