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山东大学学报 (医学版) ›› 2018, Vol. 56 ›› Issue (6): 91-94.doi: 10.6040/j.issn.1671-7554.0.2018.036

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腰椎手术后带状疱疹3例分析并文献复习

王鹏1,龚维明1,张足昌2,宋宏亮1,宁斌1,赵凯1,仲江波1   

  1. 1.山东大学附属济南市中心医院骨科, 山东 济南 250013;2.滨州医学院, 山东 滨州 264000
  • 发布日期:2022-09-27
  • 通讯作者: 仲江波. E-mail:13370587729@163.com

Herpes zoster following lumbar spine surgery: a report of 3 cases and literature review

WANG Peng1, GONG Weiming1, ZHANG Zuchang2, SONG Hongliang1, NING Bin1, ZHAO Kai1, ZHONG Jiangbo1   

  1. 1. Department of Orthopaedics, Jinan Central Hospital Affiliated to Shandong University, Jinan 250013, Shandong, China;
    2. Binzhou Medical College, Binzhou 264000, Shandong, China
  • Published:2022-09-27

摘要: 目的 探讨腰椎手术后带状疱疹的发病危险因素、临床特点及发病规律,提高其预防及诊治水平。 方法 回顾性分析2015年3月至2017年9月山东大学附属济南市中心医院骨科治疗腰椎手术后带状疱疹3例的临床资料,并对其诊治进行临床总结及分析。 结果 3例发病时间分别为腰椎手术后6、8、28 d。给予抗病毒药物阿昔洛韦治疗,同时应用抗感染等对症支持治疗,3例症状均得到缓解。 结论 手术或创伤后可激活背部神经节中潜伏的水痘-带状疱疹病毒(VZV),增加带状疱疹的发病风险。早期明确手术后带状疱疹的诊断,并给予及时正确的治疗措施,可以避免带状疱疹后遗神经痛、神经性疼痛及其他相关后遗症。

关键词: 水痘-带状疱疹病毒, 带状疱疹, 腰椎手术

Abstract: Objective To improve the prevention, diagnosis and treatment of herpes zoster after lumbar spine surgery. Methods The clinical data of 3 cases of herpes zoster following lumbar spine surgery treated during Mar. 2015 and Sep. 2017 were retrospectively analyzed. Results The patients developed herpes zoster 6, 8 and 28 days after lumbar spine surgery, respectively. After antiviral, anti-infection and other support therapies, the symptoms were relieved. Conclusion Varicella-zoster virus can be reactivated by surgery or trauma. Early recognition and timely therapeutic intervention are essential to avoid postherpetic neuralgia, neuropathic pain and other related sequelae.

Key words: Varicella-zoster virus, Herpes zoster, Lumbar spine surgery

中图分类号: 

  • R681.5
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