ТЕРАПИЯ ОТРИЦАТЕЛЬНЫМ ДАВЛЕНИЕМ ПРИ ГНОЙНО-ВОСПАЛИТЕЛЬНЫХ ОСЛОЖНЕНИЯХ ПОСЛЕ ХИРУРГИЧЕСКИХ ВМЕШАТЕЛЬСТВ НА ПОЗВОНОЧНИКЕ

Цель исследования. Анализ первого опыта использования метода терапии отрицательным давлением в лечении пациентов с инфекционными осложнениями после оперативных вмешательств на позвоночнике.

Материал и методы. Представлены клинические случаи применения метода лечения ран под отрицательным давлением (NPWT) у пациентов с периимплантационной инфекцией, развившейся после декомпрессивно-стабилизирующих вмешательств по поводу дегенеративно-дистрофического заболевания (n = 2) и травмы (n = 1) позвоночника.

Результаты. Хорошие результаты получены у всех пациентов. Средний срок госпитализации - 33 дня. У двух пациентов удалось сохранить имплантаты. Средний срок закрытия раны перед наложением кожных швов составил 10,3 дня.

Заключение. Применение NPWT объективно уменьшает количество хирургических обработок, сокращает срок дренирования и заживления раны. 

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