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前椎切除和融合后的伪:可能会怀疑感染源
Aymeric Amelot1, Jean-Edouard Loret2, Cécile Le Brun3
1Department of Neurosurgery, Hospital Bretonneau, Tours, France.
World neurosurgery
|January 24, 2026
概括
在前椎切除和融合 (ACDF) 后,感染可能导致宫伪. 手术修复应包括细菌检测和抗生素,因为感染病例显示出较差的结果.
科学领域:
- 脊柱外科手术 脊柱外科手术
- 传染性疾病 传染性疾病
- 整形外科 整形外科 整形外科
背景情况:
- 传染病原体涉及到腰部伪,但在前椎间盘切除和融合 (ACDF) 伪方面了解甚少.
- 这项研究调查了感染在ACDF后的宫性伪硬化中所起的作用.
研究的目的:
- 为了确定是否应该怀疑感染源在ACDF后的宫虚.
- 为了评估感染对ACDF伪变性修复手术后的结果的影响.
主要方法:
- 在2018年8月至2023年8月期间,对45名接受了ACDF伪形形术的患者进行了回顾性分析.
- 伪的诊断通过CT扫描和/或18F-NaF PET/CT证实.
- 在29/45名患者的修复手术中获得的细菌培养.
主要成果:
- 在接受修复手术的64.4%患者的细菌培养中发现了一种微生物.
- 患有传染性伪的患者在部残疾指数 (NDI) 得分上有明显较小的改善 (26%对59.3%,p=0.01).
- 由于阳性细菌培养,两名患者因复发性伪而需要重新手术.
结论:
- 感染应该被认为是宫虚的潜在原因.
- 对ACDF伪的手术修复需要细菌学样本采集和抗生素预防.
- 患有传染性伪硬化症的患者通常会经历持续的部疼痛.
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