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初步临床研究：经皮腰椎间盘切除术联合外引流治疗合并硬膜外脓肿的椎间盘感染

Preliminary clinical study: percutaneous lumbar discectomy combined with external drainage for treatment of intervertebral disc infections with epidural abscess.

作者信息

Quanping Xiao, Niu Huanzhang, Li Shuangying

机构信息

Interventional Department, The First Affliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China.

Urology Department, The LuoYang DongFang Hospital, Luoyang, China.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2020 Dec;15(4):625-631. doi: 10.5114/wiitm.2020.94152. Epub 2020 Apr 5.

DOI:10.5114/wiitm.2020.94152
PMID:33294079
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7687665/
Abstract

INTRODUCTION

Percutaneous lumbar discectomy (PLD) combined with external drainage (ED) is a new technique for the treatment of intervertebral disc infection with epidural abscess.

AIM

To discuss the feasibility, safety and efficacy of PLD and ED for the treatment of intervertebral disc infections with epidural abscess.

MATERIAL AND METHODS

We enrolled 12 patients who underwent intervertebral disc infections with epidural abscess. The clinical efficacy was evaluated by visual analog scale (VAS) and standard Macnab's evaluation. Postoperative computed tomography and magnetic resonance imaging were also used to evaluate the clinical efficacy.

RESULTS

The technical success rate is 100%. Preoperation mean VAS score was 8.18 ±0.98; 5.36 ±1.50 postoperation 1 month; 3.36 ±2.24 postoperation 6 months; 2.77 ±0.31 postoperation 12 months. The comparison of preoperation and postoperation VAS showed a significant difference (p < 0.05). According to standard Macnab's evaluation, of all 12 cases, postoperation 12 months - excellent 4 cases, good 7 cases, poor 1 case. The efficacy rate was 91.6%. No serious complications were recorded.

CONCLUSIONS

Percutaneous lumbar discectomy combined with external drainage may be a safe and efficacy method for the treatment of intervertebral disc infections with epidural abscess.

摘要

引言

经皮腰椎间盘切除术（PLD）联合外引流（ED）是一种治疗椎间盘感染合并硬膜外脓肿的新技术。

目的

探讨PLD联合ED治疗椎间盘感染合并硬膜外脓肿的可行性、安全性和有效性。

材料与方法

我们纳入了12例患有椎间盘感染合并硬膜外脓肿的患者。通过视觉模拟量表（VAS）和标准的Macnab评估来评估临床疗效。术后还使用计算机断层扫描和磁共振成像来评估临床疗效。

结果

技术成功率为100%。术前平均VAS评分为8.18±0.98；术后1个月为5.36±1.50；术后6个月为3.36±2.24；术后12个月为2.77±0.31。术前和术后VAS的比较显示出显著差异（p<0.05）。根据标准的Macnab评估，在所有12例病例中，术后12个月——优4例，良7例，差1例。有效率为91.6%。未记录到严重并发症。

结论

经皮腰椎间盘切除术联合外引流可能是治疗椎间盘感染合并硬膜外脓肿的一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/4823e7ad1008/WIITM-15-40257-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/6d8533abf4e0/WIITM-15-40257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/60a2c741d18c/WIITM-15-40257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/a2330333312f/WIITM-15-40257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/3c57ef7041b9/WIITM-15-40257-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/538ccd40faa4/WIITM-15-40257-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/4823e7ad1008/WIITM-15-40257-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/6d8533abf4e0/WIITM-15-40257-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/60a2c741d18c/WIITM-15-40257-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/a2330333312f/WIITM-15-40257-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/3c57ef7041b9/WIITM-15-40257-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/27fe/7687665/538ccd40faa4/WIITM-15-40257-g005.jpg
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