关键词: 医用胶水, 腰椎后路手术, 切口感染率

Abstract:

Objective To investigate the efficacy of surgical glue in treatment of lumbar posterior surgical incision in spine surgery. Methods Two hundred patients with lumbar posterior surgical incision from 2016 Jan to 2017 Mar were chosen from our department of orthopaedics in this study． The patients were randomly divided into four groups（A, B, C, D, 50 patients each group）, surgical glue treatment group（A）, conventional suture treatment group （B）, metal skin staples treatment group （C）and the absorbable intradermal suture treatment group（D）. The clinical efficacy was compared among four groups. Results Compared with control groups, the healing of those incisions with surgical glue was better, can achieve more level, beautiful healing effect, however, the incidence of incision infection was significantly higher, and infection only happened in these elderly women who are obese interestingly, could be cured by VSD and debridement and suturing well. There is no significant difference of the incidence of incision infection among the control groups statistically, and in the aesthetical aspect, the absorbable intradermal suture treatment group （D） was better, metal skin staples treatment group （C） was middle, the conventional suture treatment group（B）was bad. Conclusion The use of surgical glue was shown to be safe, can achieve more level, beautiful healing effect in treatment of lumbar posterior surgical incision in spine surgery, it has many advantages, such as shortening the period of hospitalization, no need to take out the sutures, improving the patient satisfaction. But the indications should be strictly controlled, sense the surgical glue was unappropriated for the elderly women of physical fitness.

Key words: lumbar posterior operation, rate of incision infection, surgical glue