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术后椎间盘间隙感染管理中的再次手术

Reoperation in the management of post-operative disc space infection.

作者信息

Bongartz E B, Ulrich P, Fidler M, Bernucci C

机构信息

Neurosurgical Department, Slotervaart Municipal Hospital, Amsterdam.

出版信息

Zentralbl Neurochir. 1994;55(2):120-4.

PMID:7941827
Abstract

Post-operative intervertebral disc space infection had been recognised as a clinical entity with its own characteristics. Various treatments have been described. During the last six years 3127 open lumbar intervertebral disc operations were performed of which 15 (0.5%) showed a post-operative discitis. We treated our patients by reoperation of the infected intervertebral disc space. The reason of reoperation consists of acquiring material for bacteriological culture and removing loose fragments. It appears to us that reoperation is facilitating early mobilisation of patients. Also attention is paid to new diagnostic possibilities.

摘要

术后椎间盘间隙感染已被公认为一种具有自身特点的临床病症。已有多种治疗方法被描述。在过去六年中,共进行了3127例开放性腰椎间盘手术,其中15例(0.5%)出现了术后椎间盘炎。我们通过对感染的椎间盘间隙进行再次手术来治疗患者。再次手术的原因包括获取细菌培养材料和清除松动的碎片。在我们看来,再次手术有助于患者早期活动。同时也关注新的诊断可能性。

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