改良交替负压引流在后路腰椎融合术后的应用
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作者Author单位AddressE-Mail
李艳宁 LI Yan-ning 中国医科大学航空总医院脊柱外科, 北京 100012 Department of Spine Surgery, Aviation General Hospital, China Medical University, Beijing 100012, China  
杨小胜 YANG Xiao-sheng 中国医科大学航空总医院脊柱外科, 北京 100012 Department of Spine Surgery, Aviation General Hospital, China Medical University, Beijing 100012, China yxs361666@163.com 
期刊信息:《中国骨伤》2023年,第36卷,第5期,第436-439页
DOI:10.12200/j.issn.1003-0034.2023.05.008
基金项目:
中文摘要:

目的:探讨改良交替负压引流方式在后路腰椎融合术后的引流效果。

方法:前瞻性非随机对照研究分析2019年1月至2020年6月脊柱外科行腰椎后路全椎板切除减压、椎间融合内固定的84例患者的临床资料,其中单节段手术22例,双节段手术62例。根据入院时手术节段及顺序分别编号分组,其中观察组(改良交替负压引流组)42例,术后给予自然压力引流,24 h后改为负压引流;对照组42例,术后给予负压引流,24 h后改为自然压力引流。比较两组的相关指标,包括手术时间、术中出血量、术后总引流量、引流管留置时间、术后24 h和术后1周最高体温、引流相关并发症。

结果:观察组和对照组术后总引流量分别为(456.69±124.50)、(572.36±117.75) ml,引流管留置时间分别为(4.00±1.17)、(4.95±1.31) d,组间差异均有统计学意义(P<0.05)。观察组和对照组术后24 h最高体温分别为(37.09±0.31)、(37.03±0.33)℃,术后1周最高体温分别为(37.05±0.32)、(36.94±0.33)℃,组间差异无统计学意义(P>0.05)。观察组表浅伤口感染1例(2.38%),对照组2例(4.76%),差异无统计学意义(P>0.05)。两组均未出现深部伤口感染及症状性硬膜外血肿。

结论:后路腰椎融合术后采用改良的交替负压引流方式,可减少术后引流量,缩短引流管留置时间,而不增加引流相关并发症。
【关键词】后路腰椎融合术  交替负压  引流
 
Application of modified alternate negative pressure drainage instrument after posterior lumbar fusion
ABSTRACT  

Objective To investigate the effect of modified alternate negative pressure drainage on postoperative outcomes after posterior lumbar interbody fusion (PLIF) surgery.

Methods This was a prospective study involving 84 patients who underwent PLIF surgery between January 2019 and June 2020. Of these patients,22 had single-segment surgery and 62 had two-segment surgery. Patients were grouped by surgical segment and admission sequence:the observation group included patients with a single-segment surgery,and the control group included patients with a two-segment surgery. Natural pressure drainage was given to 42 patients in the observation group (modified alternate negative pressure drainage group) after surgery,which was then changed to negative pressure drainage after 24 hours. In the control group,42 patients were given negative pressure drainage after surgery,which was then changed to natural pressure drainage after 24 hours. The total drainage volume,drainage time,maximum body temperature at 24 hours and 1 week after surgery,and drainage-related complications were observed and compared between the two groups.

Results There was no significant difference in operative time and intraoperative blood loss between the two groups. The postoperative total drainage volume was significantly lower in the observation group (456.69±124.50) ml than in control group (572.36±117.75) ml,and the drainage time was significantly shorter in the observation group (4.95±1.31) days than in the control group (4.00±1.17) days. Maximum body temperature at 24 hours after surgery was similar in both groups (37.09±0.31)℃ in the observation group and (37.03 ±0.33)℃ in the control group,while on the 1st week after surgery,it was slightly higher in the observation group (37.05 ±0.32)℃ than in the control group (36.94±0.33)℃,but the difference was not significant. There were no significant differences in drainage-related complications,with one case(2.38%) of superficial wound infection in the observation group and two cases(4.76%) in control group.

Conclusion Modified alternate negative pressure drainage after posterior lumbar fusion can reduce the drainage volume and shorten the drainage time without increasing the risk of drainage-related complications.
KEY WORDS  Posterior lumbar fusion  Alternate negative pressure  Drainage
 
引用本文,请按以下格式著录参考文献:
中文格式:李艳宁,杨小胜.改良交替负压引流在后路腰椎融合术后的应用[J].中国骨伤,2023,36(5):436~439
英文格式:LI Yan-ning,YANG Xiao-sheng.Application of modified alternate negative pressure drainage instrument after posterior lumbar fusion[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(5):436~439
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