持续闭式引流（VS）结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染.docVIP

持续闭式引流（VSD）结合骨水泥抗生素链珠治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染 朱余龙朱海涛丁德刚徐亮 （江苏省射阳县人民医院骨科224300） 】R的探讨持续闭式引流（VSD）结合骨水泥抗生素链珠治疗腰椎 骨折椎弓根钉棒系统内固定术后早期感染的临床疗效。方法2010年3月一 2014 年3月，使用持续闭式引流（VSD）结合骨水泥抗生素链珠治疗腰椎骨折椎弓根 钉棒系统内固定术后早期感染11例，随访其临床效果。结果11例患者均得到 随访，随访时间8—12月，平均10.5月。手术后感染治愈，无一例需取出原闪 固定物重新或者更换固定材料。结论持续闭式引流（VSD）结合骨水泥抗生素 链珠治疗腰椎骨折椎弓根钉棒系统A固定术后早期感染操作简单、安全有效，可 以作为治疗腰椎骨折椎弓根钉棒系统内固定术后早期感染手段之一。 关键词】持续闭式引流骨水泥链珠腰椎骨折内固定术后感染 】R68 】A 】2095-1752 （2014） 22-0079-02 Treatment of early postoperative infection of lumbar fracture internal fixation of pedicle screw rod system with vacuum sealing drainage （VSD） combined with antibiotic bone cement chain Zhu Yulong, Zhu Haitao,Ding Degang,Xu Liang Orthopedics Department, Peoplersquo;s Hospital Sheyang County, Jiangsu, 224300,CHINA Abstract] Objective: To investigate the efficacy of the treatment of early postoperative infection of umbar fracture internal fixation of pedicle screw rod system with VSD combined with antibiotic bone cement chain. Methods: from 2010 March to 2014 March, the use of continuous closed drainage （VSD） combined with antibiotic bone cement bead chain, lumbar fracture internal fixation of pedicle screw rod system treatment of early postoperative infection in 11 cases, follow-up clinical results. Results: 11 patients were followed up from 8-12 months, with an average of 8.5 months. Cured of infection after surgery, no case of need to remove or replace the original re-fixed within the implant material. Conclusion: The continuous closed drainage (VSD) combined with antibiotic bone cement beads chain to treat early infection is simple, safe and effective treatment of lumbar fracture internal fixation of pedicle screw rod system can be used as a means of early postoperative infection. Keywords】 Vacuum sealing drainage (VSD) antibiotic bone cement chain lumbar fracture internal fixation early postoperative infection 近年来，随着脊柱内固定技术的发展，椎弓根螺钉系统在脊椎骨折的应用越 来越普遍，腰椎骨折椎弓根钉棒系统内固定术后感染发病率也随之增加，一旦椎 弓根钉棒系统内固定术后感染，治疗棘手［1】。我院自2010年3月至2014年3 月，共收治腰椎骨折椎弓根内固定