摘要： 目的探讨不同标准拔出引流管对腰椎融合术后疗效的影响。方法选取我院200例行腰椎后路内固定术的患者，根据不同的拔出引流标准，将患者分为A、B 2组，每组100例。A组根据时间（术后第2天）拔出引流管，B组根据引流量（<50 mL/d）拔出引流管，比较2组术后疗效。结果 A组术后引流量和总出血量明显少于B组（P<0.001），术后下床活动时间和住院时间比B组短（P<0.001）。2组手术部位感染和术后疼痛症状的发生率差异无统计学意义（P> 0.05）。结论对于后路腰椎1~2节段融合内固定的患者，A组患者比B组患者恢复更快，A组患者较B组患者术后引流量减少，总失血量减少，A组术后提前下床活动，术后住院时间缩短，并且不增加术后感染和疼痛症状的发生率。

不同标准拔出引流管对腰椎融合术后疗效的影响

谭跃龙, 刘丽君, 李思维, 郝赫, 陈林林

中国医科大学第八临床学院, 鞍钢集团公司总医院骨科, 辽宁 鞍山 114002

收稿日期:2021-06-11出版日期:2022-05-30发布日期:2022-05-28
通讯作者:陈林林
作者简介:谭跃龙(1988-),男,主治医师,硕士.



关键词: 引流管拔出时间, 腰椎融合术, 术后疗效
Abstract: Objective To compare drainage tube removal according to different standards of time and drainage volume and determine which method is better for patients after lumbar fusion. Methods A total of 200 patients who underwent lumbar posterior internal fixation in our hospital were selected and divided into groups A and B according to the different drainage standards,with 100 patients in each group. The drainage tube was removed according to the time (day 2 post-operation) in group A,and according to the drainage volume (<50 mL/d) in group B. The postoperative effects in the two groups were compared. Results The postoperative drainage volume,total blood loss,postoperative ambulation time,and hospital stay in group A were significantly lower than those in group B (P< 0.001). There was no significant difference in the incidence of surgical site infection or postoperative pain between the two groups (P> 0.05). Conclusion In patients who underwent posterior lumbar 1-2 segment fusion and internal fixation,the recovery of group A was faster than that of group B. The postoperative drainage volume and total blood loss of group A were less than those of group B. The patients in group A were ambulatory earlier post-operation,had shorter postoperative hospital stay,and did not have increased incidence of postoperative infection or pain symptoms.
Key words: drainage tube extraction time, lumbar fusion, postoperative efficacy
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