摘要
目的探讨腰椎间隙感染的诊断与治疗方法。方法回顾性分析该院2000年5月至2011年2月收治的34例腰椎间隙感染患者。9例采取非手术治疗;11例手术采取联合入路,14例手术采取后入路。比较3种治疗方法在疼痛缓解时间、ESR及CRP降至正常的时间、平均住院时间上的差异。结果手术组的疼痛缓解时间、ESR及CRP降至正常的时间、平均住院时间与非手术组比较差异有统计学意义(P<0.05)。联合入路组和后入路组比较差异无统计学意义(P>0.05)。所有病例随访6～12个月无复发,术后3～5个月植骨均融合。结论腰椎间隙感染早期手术治疗可取得满意效果。后入路与联合入路治疗效果相当。
Objective To discuss the diagnosis and treatment of lumbar intervertebral space infection.Methods 34 cases of lumbar intervertebral space infection treated in our hospital from May 2000 to February 2011 were retrospectively analyzed.9 cases took non-operation treatment.11 cases took surgical treatment by combined anterior and posterior approach.14 cases took surgical treatment by posterior approach.The relieving time of back pain,time of ESR and CRP dropping to normal,average hospitalization duration were compared among 3 kinds of treatment methods.Results Compared with the non-operation group,the differences in the relieving duration of back pain,the time of ESR and CRP dropping to normal and the average hospitalization duration in the operation group had statistical significance（P〈0.05）.The two operation groups showed no significant difference（P〉0.05）.No recurrence was found during the 6-12 months followed up.All cases had complete bone union at 3-5 months after operation.Conclusion Early surgical treatment can acquire better effect in treating lumbar intervertebral space infection,the curative effects of 2 kinds of operation by the anterior combined posterior approach and the posterior approach have no statistical difference.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第25期2586-2588,共3页
Chongqing medicine
关键词
腰椎
诊断
治疗结果
椎间隙感染
lumbar vertebra
diagnosis
treatment outcome
intervertebral space infection
