尾骨切除术的手术切口位于靠近肛门周围的褶皱处,使伤口更易污染。 据报道感染率高达14%至27%。[43]Hodges S, Eck JC, Humphreys SC. A treatment and outcomes analysis of patients with coccydynia. Spine J. 2004;4:138-140.http://www.ncbi.nlm.nih.gov/pubmed/15016390?tool=bestpractice.com[44]Doursounian L, Maigne, JY, Faure F, et al. Coccygectomy for instability of the coccyx. Int Orthop. 2004;28:176-179.http://www.ncbi.nlm.nih.gov/pubmed/15188086?tool=bestpractice.com然而一些报道中感染率显著较低(0%-3%)[9]Balain B, Eisenstein SM, Alo GO, et al. Coccygectomy for coccydynia: case series and review of literature. Spine. 2006;31:E414-E420.http://www.ncbi.nlm.nih.gov/pubmed/16741442?tool=bestpractice.com[45]Cebesoy O, Guclu B, Kose KC, et al. Coccygectomy for coccygodynia: do we really have to wait? Injury. 2007;38:1183-1188.http://www.ncbi.nlm.nih.gov/pubmed/17412343?tool=bestpractice.com最近的文章报道感染率接近11%。[46]Kerr EE, Benson D, Schrot RJ. Coccygectomy for chronic refractory coccygodynia: clinical case series and literature review. J Neurosurg Spine. 2011;14:654-663.http://www.ncbi.nlm.nih.gov/pubmed/21332277?tool=bestpractice.com[47]Karadimas EJ, Trypsiannis G, Giannoudis PV. Surgical treatment of coccygodynia: an analytic review of the literature. Eur Spine J. 2011;20:698-705.http://www.ncbi.nlm.nih.gov/pubmed/21046173?tool=bestpractice.com 术后持续应用抗生素72小时。 患者术后可进食产生粪便较少的饮食以避免术后一段时间就进行排便。
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