Liu Jung-Tung, Liao Wen-Jui, Chang Cheng-Siu, Chen Yung-Hsiang
School of Medicine, College of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan ; Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Departments of Neurosurgery, Nuclear Medicine, and Radiology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Biomed Res Int. 2015;2015:842010. doi: 10.1155/2015/842010. Epub 2015 Jul 26.
Postoperative surgical site infections (SSIs) are more common complications after spinal surgery. SSIs often require extended hospitalisation and may worsen overall clinical outcomes. A retrospective database review of consecutive patients with traditional open lumbar spinal surgery was performed. SSIs patients were identified and reviewed for clinically relevant details, and postoperative SSIs' incidence was calculated for the entire cohort as well as for subgroups with or without spinal implants. In 15 years, 1,176 patients underwent open lumbar spinal surgery with spinal implants and 699 without. Thirty-eight developed postoperative SSIs. Total SSI rate for the entire group was 2.03%. The incidence of postoperative SSIs in the nonimplant group was relatively low. Patients received antibiotics, hyperbaric oxygen therapy, and wet dressing. We provided the precise rates of postoperative SSIs in traditional open spinal surgery obtained from a single-centre data. Patients with spinal implants had higher SSIs' incidence than those without.
术后手术部位感染（SSIs）是脊柱手术后较为常见的并发症。SSIs通常需要延长住院时间，并且可能会使整体临床结果恶化。对连续接受传统开放性腰椎手术的患者进行了回顾性数据库分析。识别出SSIs患者并对其临床相关细节进行审查，并计算整个队列以及有或没有脊柱植入物的亚组的术后SSIs发生率。在15年中，1176例患者接受了带脊柱植入物的开放性腰椎手术，699例未接受。38例发生了术后SSIs。整个组的总SSI率为2.03%。非植入物组术后SSIs的发生率相对较低。患者接受了抗生素、高压氧治疗和湿敷。我们提供了从单中心数据中获得的传统开放性脊柱手术术后SSIs的精确发生率。有脊柱植入物的患者比没有的患者SSIs发生率更高。
