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

摘要：

目的 观察医用胶水在腰椎后路手术切口处理中的疗效。方法 将2016年1月至2017年3月我院脊柱外科收治的200例腰椎后路手术病人等分为4组，实验组（A组）手术切口应用医用胶水进行粘合，与另外150例（等分为3组，B组、C组、D组）分别使用传统丝线缝合、金属皮肤钉及可吸收缝线皮内缝合的患者进行比较。结果 与对照组比较，应用医用胶水可获得更加平整、美观的愈合效果，但切口感染发生率明显增加，实验组感染病例均发生于体质肥胖的老年女性患者，经过负压吸引及清创缝合后感染可疤痕愈合；对照组内比较切口感染发生率无明显差别，美观程度方面，可吸收缝线组较好，金属皮肤钉组次之，传统丝线组较差。结论 使用医用胶水对腰椎后路手术切口进行粘合可获得更加平整、美观的愈合效果，缩短住院时间，无需拆线，病人满意度提高，但应严格掌握适应症，体质肥胖的老年女性患者不宜使用。

关键词: 医用胶水, 腰椎后路手术, 切口感染率