التهاب القرص الفقري التالي لجراحة فتق النواة اللبيّة القطنية
Abstract
أجريت الدراسة في مشفى الأسد الجامعي باللاذقية في الفترة الواقعة بين بداية عام 2006 م وحتى الشهر السادس عام 2008 م .شملت الدراسة 400 مريضاً أجري لهم عمل جراحي على فتق نواة لبيّة قطنية ،خضع جميع المرضى للشروط نفسها, قبل, وفي أثناء وبعد الجراحة, وأصيب 15 مريضاً منهم بالتهاب في القرص الفقري بعد الجراحة. كان الهدف من الدراسة التوصل لأفضل طريقة في التشخيص الباكر للمرض وبالتالي المعالجة المبكرة بهدف الوقاية من المضاعفات, وذلك بإبراز دور التصوير بالمرنان المغناطيسي كوسيلة مهمة في التشخيص.كما هدفت الدراسة إلى إبراز دور الصادات الاتقائية في التقليل من حدوث المرض.وبعد الدراسة ومناقشة النتائج تبين لنا أهمية الاستخدام الاتقائي بالصادات الوسيعة في خفض نسبة الإصابة ,حيث كانت النسبة لدينا 3.7 % مقارنة مع النسبة العالمية 4%.إضافة للدقة العالية للمرنان من حيث الحساسية والنوعية في التشخيص الباكر عند جميع المرضى.
The study took place at Al-Assad University Hospital in Latakia, during the period from the onset of January 2006 until June, 2008. The study included 400 patients who had operated for ruptured lumbar disk. All the patients had undergone the same circumstances, and have taken prophylactic antibiotics before, during and after operation and 15 of them have had lumbar discits post operatively. The goal of the study is to reach the best manner of early diagnosis through the magnetic resonance imaging. After discussion of results, we found that the application of prophylactic antibiotics may reduce the rate of occurrence (3.7% in our study) comparing with the international ratio (4%), in addition to the high sensitivity and specificity in all patients of our study.
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