Volume 22 Issue 5
May  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 729-732
ZHANG Nan, WANG Miao, ZHANG Peng, MA Chao, GAO Shunxing, LIU Hongzheng, TAO Xiaobing. Effect of indwelling drainage tube on wound healing and infection indexes in patients after posterior lumbar decompression and internal fixation surgery[J]. Chinese Journal of General Practice, 2024, 22(5): 729-732. doi: 10.16766/j.cnki.issn.1674-4152.003490
Citation: ZHANG Nan, WANG Miao, ZHANG Peng, MA Chao, GAO Shunxing, LIU Hongzheng, TAO Xiaobing. Effect of indwelling drainage tube on wound healing and infection indexes in patients after posterior lumbar decompression and internal fixation surgery[J]. Chinese Journal of General Practice, 2024, 22(5): 729-732. doi: 10.16766/j.cnki.issn.1674-4152.003490
shu

Effect of indwelling drainage tube on wound healing and infection indexes in patients after posterior lumbar decompression and internal fixation surgery

doi: 10.16766/j.cnki.issn.1674-4152.003490
  • 1.

    Department of Spinal Surgery 4, Hebei Cangzhou Integrated Traditional Chinese and Western Medicine Hospital Spinal, Hebei Key Laboratory of Integrated Traditional and Western Medicine in Osteoarthrosis Research (Preparing), Cangzhou, Hebei 061000, China

Funds:

 20200605

  • Received Date: 2023-11-22
    Available Online: 2024-07-20
    Abstract
  •   Objective  The incision drainage tube of posterior lumbar spinal canal fixation has an important impact on the postoperative recovery of patients.In this study, the incision indwelling drainage tube scheme was adopted, aiming to further improve the prognosis of patients with posterior lumbar decompression and internal fixation.  Methods  A total of 98 patients who underwent posterior lumbar decompression and internal fixation surgery in the Department of Radiotherapy and Chemotherapy in Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine of Hebei Province from June 2019 to May 2022 were selected, among which 50 patients had their drainage tube removed more than 48 hours and less than one week after surgery (group A), and the other 48 patients had their drainage tube removed within 48 hours after surgery (group B).The general data, intraoperative indexes, postoperative incision healing, infection indexes and complications were compared between the two groups.  Results  There were no statistically significant differences in general data between the two groups (P>0.05).The postoperative drainage volume in group A was higher than that in group B[(183.04±47.36) mL vs.(164.01±29.68) mL, P < 0.05], and the frequency of dressing change within 5 days after surgery was lower than that in group B[(2.01±0.62) times/d vs.(2.69±0.72) times/d, P < 0.05].There was no difference in postoperative ground activity time and total hospital stay between the two groups (P>0.05).There was no difference in incision healing between the two groups at the last follow-up (P>0.05), and the total incidence of drainage tube related complications in group A was lower than that in group B (12.00%vs.29.17%, P < 0.05).The body temperature, white blood cell count (WBC), neutrophil (NEU) concentration and C-reactive protein (CRP) in group A were all lower than those in group B on the third day after surgery (P < 0.05).  Conclusion  The indwelling of drainage tube in the incision after posterior lumbar decompression and internal fixation surgery for more than 48 hours and less than one week is conducive to reducing the infection indicators and the incidence of complications, and has no significant effect on the wound healing of patients.

     

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