Wang Hongbin, Xu Jing, Pang Lanlan, Bai Luyue, Fan Xutao
Jining Medical University, Jining, China.
Department of Infectious Diseases, Affiliated Hospital of Jining Medical University, Jining, China.
Front Med (Lausanne). 2025 Jul 21;12:1606535. doi: 10.3389/fmed.2025.1606535. eCollection 2025.
In recent years, innovations in spinal surgical techniques have significantly improved clinical outcomes and quality of life for patients with spinal diseases. However, the risk of deep surgical site infection (SSI) following posterior approaches remains a significant concern. Through analysis of a representative case, this study systematically explores the clinical value of ultrasound-guided percutaneous catheter drainage (PCD) in managing deep incisional infections following posterior spinal surgery, this approach offers an innovative solution for postoperative deep infections.
A patient with cervical hyperextension injury caused by drowning underwent posterior cervical expansive open-door laminoplasty with internal fixation. Postoperative deep incisional infection occurred and was treated with ultrasound-guided PCD combined with systemic antibiotic therapy. The infected cavity was irrigated twice daily with saline and maintained under continuous negative-pressure suction. Infection-related biomarkers and abscess size were closely monitored to evaluate the efficacy of this approach.
The patient exhibited symptomatic relief, significant reduction in abscess volume, and normalization of inflammatory markers, successfully avoiding secondary open debridement. This approach minimized surgical trauma and nursing challenges. A 12-month follow-up confirmed no infection recurrence and maintained cervical stability.
Ultrasound-guided percutaneous drainage, with its advantages of minimal invasiveness, safety, and real-time visualization, represents a promising first-line therapeutic option for deep incisional infections following posterior spinal surgery.
近年来，脊柱外科技术的创新显著改善了脊柱疾病患者的临床疗效和生活质量。然而，后路手术术后深部手术部位感染（SSI）的风险仍然是一个重大问题。通过对一个具有代表性病例的分析，本研究系统地探讨了超声引导下经皮导管引流（PCD）在处理脊柱后路手术后深部切口感染中的临床价值，该方法为术后深部感染提供了一种创新的解决方案。
一名因溺水导致颈椎过伸伤的患者接受了颈椎后路扩大开门椎管成形术并内固定。术后发生深部切口感染，采用超声引导下PCD联合全身抗生素治疗。感染腔每天用生理盐水冲洗两次，并持续负压吸引。密切监测感染相关生物标志物和脓肿大小，以评估该方法的疗效。
患者症状缓解，脓肿体积显著减小，炎症指标恢复正常，成功避免了二次切开清创。该方法最大限度地减少了手术创伤和护理挑战。12个月的随访证实无感染复发，颈椎稳定性良好。
超声引导下经皮引流具有微创、安全和实时可视化的优点，是脊柱后路手术后深部切口感染有前景的一线治疗选择。
