SSIisaninfectionofthetissues,organs,orspacesexposedbysurgeonsduringtheperformanceofaninvasiveprocedure.
SSI是外科医生在实施侵入性手术过程中暴露的组织、器官或空间的感染。
SSIisconsideredasadiagnosiswithin30daysofsurgeryintheabsenceofimplants;andupto1-yearpostoperativelyinthepresenceofsurgicalimplants.
在没有植入物的情况下,SSI被认为是手术后30天内的诊断;在手术植入物的情况下,可达术后1年。
TheCenterforDiseaseControl(CDC)classifiessurgicalsiteinfectionintosuperficial,deep,andorgan/space.
美国疾病控制中心(CDC)将手术部位感染分为表面感染、深部感染和器官/间隙感染。
Superficialinfectioninvolvestheskinandsubcutaneoustissue,leadingtopain,tenderness,redness,andheatoverthesite.
浅表感染涉及皮肤和皮下组织,导致疼痛、压痛、发红和局部发热。
Deepinfectioninvolvesthefasciaandmuscle,oftenresultinginfever(38°C),pain,tendernessandabscessformation.
深部感染累及筋膜和肌肉,常引起发热(38°C)、疼痛、压痛和脓肿形成
Organ/spaceinfectionincludessepticdiscitis,vertebralosteomyelitis,andepiduralabscess,leadingtopossiblepurulentdrainageandabscess
器官/空间感染包括感染性椎间盘炎、椎体骨髓炎和硬膜外脓肿,可能导致脓性渗出和脓肿形成
IncidenceofSSIinSpineisbetween1%and15%,varyingwiththetypeofsurgerybeingperformedandtheregioninvolved.
脊柱SSI的发生率在1%到15%之间,随手术类型和手术区域的不同而变化。
AccordingtoaMedicaredatabaseanalysis,theSSIrateforindexsurgeryis8.5%
根据医疗保险数据库分析,指标手术的SSI率为8.5%
However,otherprospectivestudieshavedemonstratedlowerinfectionrates:surgeryfordiskherniation2%,stenosis2.5%,andspondylolisthesis4%.
然而,其他前瞻性研究已经证明了较低的感染率:手术治疗椎间盘突出2%,狭窄症2.5%,脊椎滑脱症4%
WhenassessingriskfactorsforSSI,itisimportanttoconsiderfactorsrelatingtothepatient,thepathology,andtheprocedure.
在评估SSI的危险因素时,与患者、病理及操作步骤相关的因素是很重要的。
Whenconsideringpatient-relatedfactors,thisispredominantlymedical