[1]李健　 朱文雄　 肖祥池.经皮穿刺椎间盘病灶清除术治疗椎间盘炎的探讨[J].中国微创外科杂志,2002,02(4):205-207.
　LiJian,Zhu Wenxiong,Xiao Xiangchi..A discussion on percutaneous focal cleaning and irrigating for the treatment of discitis[J].Chinese Journal of Minimally Invasive Surgery,2002,02(4):205-207.
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经皮穿刺椎间盘病灶清除术治疗椎间盘炎的探讨()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
02
期数:
2002年4期
页码:
205-207
栏目:
出版日期:
2002-08-31

文章信息/Info

Title:
A discussion on percutaneous focal cleaning and irrigating for the treatment of discitis
作者:
李健　 朱文雄　 肖祥池
广州医学院附属市二医院骨外科,广州,510150
Author(s):
LiJian; Zhu Wenxiong; Xiao Xiangchi.
Department of Orthopaedics,The Affiliated Second Municipal People’s Hospital of Guangzhou Medical College, Guangzhou,Guangdongprovince(510150),China
关键词:
椎间盘炎 经皮穿刺病灶清除
Keywords:
discitis　percutaneous focal clearing
分类号:
R681.5+3
文献标志码:
A
摘要:
目的探讨椎间盘炎的一种新的微创手术治疗. 方法对37例椎间盘炎采用经皮穿刺椎间盘病灶切除及用含庆大霉素盐水持续性灌洗治疗. 结果 31例得到随访,平均随访时间为2.6年.全部病人在进行病灶清除术后,临床症状体征均获得迅速控制,并早期下床活动,腰椎间盘炎在6周左右,颈椎间盘炎在1周左右.血沉(ESR)、急性反应蛋白(CRP) 腰、颈椎间盘炎分别在术后4周和3周开始降至正常.X线平片显示病变椎体融合20例,椎间隙变窄17例. 结论经皮穿刺椎间盘病灶清除术或病灶清除持续灌洗引流术有微创、效果好、不影响脊柱稳定性等优点.
Abstract:
Objective　To discuss a new minimally invasive option for the treatment of discitis.　Methods　37 patients with lumbar or cervical discitis were treated by percutaneous focal cleaning and continueus irrigation with Gentamy- cin in normal saline.　Results　31 patients were followed up for 2.6 years on an average.The symptoms of patients with lumbar discitis were controlled and they could get out of bed in six weeks on the average and those with cervical disitis in one week.ESR and C-RP decreased to nomal level in four and three weeks respectively,X-ray films showed that there was narrowing of involved intervertebral spaces in 17 cases and fusion in 20 cases.　Conclusions　Percutaneous focal clearing or irrigating are minimally invasive and effective without influence on the stability of spine.

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更新日期/Last Update: 2014-07-31