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首页> 外文期刊>Asian spine journal. >Lymphopenia at 4 Days Postoperatively Is the Most Significant Laboratory Marker for Early Detection of Surgical Site Infection Following Posterior Lumbar Instrumentation Surgery
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Lymphopenia at 4 Days Postoperatively Is the Most Significant Laboratory Marker for Early Detection of Surgical Site Infection Following Posterior Lumbar Instrumentation Surgery

机译:术后4天的淋巴细胞减少是早期检测腰椎后路手术手术部位感染的最重要实验室指标

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Study Design Case control study. Purpose To identify the most significant laboratory marker for early detection of surgical site infection (SSI) using multiple logistic regression analysis. Overview of Literature SSI is a serious complication of spinal instrumentation surgery. Early diagnosis and treatment are crucial. Methods We retrospectively reviewed the laboratory data of patients who underwent posterior lumbar instrumentation surgery for degenerative spinal disease from January 2003 to December 2014. Six laboratory markers for early SSI detection were considered: renewed elevation of the white blood cell count, higher at 7 than 4 days postoperatively; renewed elevation of the C-reactive protein (CRP) level, higher at 7 than 4 days postoperatively; CRP level of >10 mg/dL at 4 days postoperatively; neutrophil percentage of >75% at 4 days postoperatively; lymphocyte percentage of Results Ninety patients were enrolled; five developed deep SSI. Multivariate regression analysis showed that a lymphocyte count of Conclusions A lymphocyte count of.
机译:研究设计案例对照研究。目的通过多重logistic回归分析确定最重要的实验室标记物,以早期发现手术部位感染(SSI)。文献概述SSI是脊柱器械手术的严重并发症。早期诊断和治疗至关重要。方法回顾性分析2003年1月至2014年12月行腰椎后路退行性脊柱侧弯手术的患者的实验室数据。考虑了六个SSI早期检测的实验室指标:白细胞计数重新升高,高于7的4术后天数C反应蛋白(CRP)水平重新升高,在术后7天比4天更高;术后4天CRP水平> 10 mg / dL;术后4天的中性粒细胞百分比> 75%;结果90例患者入选;五是开发深SSI。多因素回归分析表明,淋巴细胞计数为结论。

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