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华西医学  2014 

负压封闭引流术在治疗脊柱术后早期深部感染中的应用

DOI: 10.7507/1002-0179.20140207, PP. 685-687

Keywords: 脊柱,内固定,感染,负压

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Abstract:

目的 探讨负压封闭引流术治疗脊柱后路内固定术后早期深部感染的临床疗效。方法 回顾性分析2009年3月-2012年3月采用负压封闭引流术治疗脊柱后路内固定术后早期深部感染患者9例,其中男5例,女4例;年龄21~64岁,平均44.6岁。所有患者均行手术清创,保留原有内固定,并采用负压封闭引流的治疗方式。结果 患者经负压封闭引流术治疗1~3次,平均2.1次,每次3~7d;所有患者接受6~38个月的随访,平均18个月,伤口均愈合,无腰痛、切口疼痛、红肿、渗出及窦道形成等;再次行影像学检查未见骨质破坏;复查血沉、C反应蛋白、白细胞总数及分类明显下降或降至正常。结论 负压封闭引流术是治疗脊柱后路内固定术后早期深部感染的有效方法。

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