脊柱围手术期手术部位感染的诊断及预防研究进展

发布时间：2018-03-24 07:19

本文选题：脊柱手术　切入点：手术部位感染　出处：《中国矫形外科杂志》2016年07期

【摘要】：脊柱术后切口部位感染可导致严重的并发症,如内固定失败、骨髓炎、假关节形成、椎间盘炎、瘫痪、败血症甚至死亡。早期诊断和积极采取预防措施对降低脊柱术后感染具有重要意义。近年来,新技术如血清淀粉样-A、氟-18-氟代脱氧葡萄糖PET/CT等不断涌现并逐渐应用于脊柱术后感染诊断,提高了诊断能力。同时,越来越多的文献报道各种预防措施应用于降低术后感染率,包括术前皮肤去定植、预防性使用抗生素、脉冲冲洗、局部应用抗生素、切口负压疗法等。本文针对脊柱手术部位感染的早期诊断及预防措施进行综述。
[Abstract]:Infection in the incision after spinal surgery can lead to serious complications such as failure of internal fixation, osteomyelitis, pseudoarthrosis, intervertebral disc inflammation, paralysis, Septicemia and even death. Early diagnosis and active preventive measures are important to reduce postoperative infection. New techniques, such as serum amyloid, fluoro-18-fluorodeoxyglucose (PET/CT), have been emerging and applied to the diagnosis of postoperative spinal infection, which has improved the diagnostic ability. At the same time, more and more literatures have reported that various preventive measures have been used to reduce the postoperative infection rate. This article reviews the early diagnosis and preventive measures of infection in spinal surgery, including preoperative skin deswelling, prophylactic use of antibiotics, pulse washing, local use of antibiotics, incision negative pressure therapy, and so on.
【作者单位】：空军总医院骨科;
【分类号】：R687.3

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