本文選題：脊柱手術(shù)　切入點：手術(shù)部位感染　出處：《中國矯形外科雜志》2016年07期

【摘要】：脊柱術(shù)后切口部位感染可導致嚴重的并發(fā)癥,如內(nèi)固定失敗、骨髓炎、假關(guān)節(jié)形成、椎間盤炎、癱瘓、敗血癥甚至死亡。早期診斷和積極采取預防措施對降低脊柱術(shù)后感染具有重要意義。近年來,新技術(shù)如血清淀粉樣-A、氟-18-氟代脫氧葡萄糖PET/CT等不斷涌現(xiàn)并逐漸應用于脊柱術(shù)后感染診斷,提高了診斷能力。同時,越來越多的文獻報道各種預防措施應用于降低術(shù)后感染率,包括術(shù)前皮膚去定植、預防性使用抗生素、脈沖沖洗、局部應用抗生素、切口負壓療法等。本文針對脊柱手術(shù)部位感染的早期診斷及預防措施進行綜述。
[Abstract]:Infection in the incision after spinal surgery can lead to serious complications such as failure of internal fixation, osteomyelitis, pseudoarthrosis, intervertebral disc inflammation, paralysis, Septicemia and even death. Early diagnosis and active preventive measures are important to reduce postoperative infection. New techniques, such as serum amyloid, fluoro-18-fluorodeoxyglucose (PET/CT), have been emerging and applied to the diagnosis of postoperative spinal infection, which has improved the diagnostic ability. At the same time, more and more literatures have reported that various preventive measures have been used to reduce the postoperative infection rate. This article reviews the early diagnosis and preventive measures of infection in spinal surgery, including preoperative skin deswelling, prophylactic use of antibiotics, pulse washing, local use of antibiotics, incision negative pressure therapy, and so on.
【作者單位】： 空軍總醫(yī)院骨科;
【分類號】：R687.3

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本文編號：1657283