ГНОЙНО-ВОСПАЛИТЕЛЬНЫЕ ОСЛОЖНЕНИЯ В ХИРУРГИИ ГРУДНОГО И ПОЯСНИЧНО- КРЕСТЦОВОГО ОТДЕЛОВ ПОЗВОНОЧНИКА

Цель исследования – проанализировать данные научной литературы о диагностике и профилактике гнойно-воспалительных осложнений у пациентов после хирургического лечения заболеваний и травм грудного и пояснично-крестцового отделов позвоночника.

Материалы и методы. Для анализа были использованы 55 источников, отобранных через поисковые системы eLIBRARY.ru и PubMed. Поисковые запросы: грудной и пояснично-крестцовый отделы позвоночника, гнойно-воспалительные осложнения, спондилиты, спондилодисциты, ожирение, хирургия стенозов позвоночника. Рассмотрены особенности лечения, профилактики и факторы риска возникновения гнойно-воспалительных осложнений у больных, оперированных по поводу позвоночно-спинномозговой травмы и заболеваний грудного и пояснично-крестцового отделов позвоночника.

Заключение. Несмотря на большое количество публикаций, влияние следующих факторов на развитие гнойно-воспалительных осложнений остается неясным: ожирение, способ хирургического лечения, сроки дренирования послеоперационных ран, наличие хронических заболеваний. Требуется уточнение алгоритма диагностики, лечения и профилактики гнойно-воспалительных осложнений у пациентов после хирургического лечения заболеваний и травм грудного и пояснично-крестцового отделов позвоночника.

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