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西南医科大学附属医院脊柱外科
纸质出版日期:2020,
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[1]王松,杨函,杨剑,杨进,康建平,王清.自制一体式冲洗引流管治疗脊柱手术深部感染[J].西南医科大学学报,2020,43(05):469-472.
Wang Song, Yang Han, Yang Jian, et al. Application of self-designed integrative irrigation and drainage tube in the treatment of deep infection after spinal surgery[J]. Journal of Southwest Medical University, 2020,43(5):469-472.
[1]王松,杨函,杨剑,杨进,康建平,王清.自制一体式冲洗引流管治疗脊柱手术深部感染[J].西南医科大学学报,2020,43(05):469-472. DOI:
Wang Song, Yang Han, Yang Jian, et al. Application of self-designed integrative irrigation and drainage tube in the treatment of deep infection after spinal surgery[J]. Journal of Southwest Medical University, 2020,43(5):469-472. DOI:
目的:观察自制一体式冲洗引流管治疗脊柱手术深部感染临床疗效。方法:2012年1月至2017年12月我科收治脊柱手术深部感染32例。采用自制一体式冲洗引流管治疗(A组)12例
普通一体式冲洗引流管治疗(B组)20例。手术彻底清创后
切口深部植入1-2根一体式冲洗引流管
I期闭合切口。术后持续冲洗7~14 d
同时使用敏感抗生素。观察两组患者手术疗效
术后冲洗引流管堵塞及引流管口渗漏发生率。结果:两组患者手术顺利
切口愈合良好
感染治疗满意
没有复发病例。两组患者手术时间、术中出血量、术后冲洗时间及末次随访切口局部疼痛VAS评分无明显差异;引流管堵塞A组2例16.7%
B组3例15%。引流管口渗漏A组3例(25%)小于B组9例(45%)差异有统计学意义。结论:自制一体式冲洗引流管治疗脊柱手术深部感染安全有效
可以达到普通冲洗引流管相似临床疗效
术中组装简单
引流管口渗漏率较低
特别适用于没有冲洗引流管成品的基层医院以及感染较重需要较长时间冲洗引流者。
Objective: To observe the clinical effect of self-designed integrative irrigation and drainage tube in the treatment of deep infection after spinal surgery. Methods: Among the 32 patients with deep infection after spinal surgery who were admitted to our department from January 2012 to December 2017
12 received treatment with selfdesigned integrative irrigation and drainage tube(group A)
and 20 received treatment with conventional integrative irrigation and drainage tube(group B). After thorough debridement
one or two integrative irrigation and drainage tubes were inserted into the deep incision which then underwent primary closure. Continuous irrigation was performed for 7 to 14 days after surgery
and effective antibiotics were administered concurrently. The two groups were observed for surgical outcomes and incidence of postoperative irrigation of drainage tube blockage and outlet leakage. Results: All the patients in the two groups were operated successfully. The incision healing was good
satisfactory outcomes were achieved in infection treatment
and none of the cases had a recurrence. There were no significant differences in the time of operation
intraoperative blood loss
postoperative irrigation time
and visual analogue scale score for local incision pain at the last follow-up between group A and group B. The incidence of drainage tube blockage was 16.7%(2 cases) for group A and 15%(3 cases) for group B. The incidence of drainage tube outlet leakage was significantly lower in group A than in group B(25% [3 cases] vs 45% [9 cases]). Conclusion: Self-designed integrative irrigation and drainage tube is safe and effective in treating deep infection after spinal surgery; it can achieve a clinical effect comparable to that of a conventional irrigation and drainage tube. Moreover
it is simple to assemble during a surgery
and has a relatively low incidence of drainage tube outlet leakage. All these make it especially suitable for use in primary hospitals where finished products of irrigation and drainage tubes are not available and in severely infected patients who need a relatively long time of irrigation and drainage.
脊柱手术手术部位感染深部切口冲洗引流自制一体管
Spinal surgerySurgical site infectionDeep incisionIrrigation and drainageSelf-designed integrative tube
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