摘要
目的探讨腰椎减压术后迟发性脑脊液漏发生的原因和防治方法。方法回顾总结2002年1月～2009年12月我科收治的19例迟发性脑脊液漏脑脊液囊肿病例资料,采用囊肿穿刺后腰带加压包扎、俯卧位局部压迫、手术探查修补的三阶梯方案治疗。结果本组19例患者中,13例在脑脊液囊肿穿刺后经加压包扎或俯卧位压迫治疗7～21 d脑脊液漏消失;6例患者保守无效施行手术治疗。随访6～24月,平均14月,无复发病例和其它并发症发生。结论腰椎管减压术后迟发性脑脊液漏要以术中预防为主,康复期防治引起脑脊液压力过大的诱因,发生迟发性脑脊液漏后多数可通过保守治疗治愈,无效者需行手术治疗。
Objective To investigate the reasons for delayed cerebrospinal fluid leakage and to analyze the prevention and treatment of delayed cerebrospinal fluid leakage in lumbar spinal operation.Methods A retrospective analysis was conducted on 19 cases suffering from delayed cerebrospinal fluid leakage after lumbar spinal operation from January 2002 to December 2009.Nineteen cases were treated by such step-by-step treatments as bundling waist belt,sustained local compression of prone position and reopen incision for repairing dura mater.Results Thirteen out of the 19 cases were cured between 7 days and 21 days by conservative measurements after cerebrospinal fluid cysts puncture.Reopen incision was applied in 6 cases for repairing dura mater after conservative measurements.All cases were followed-up for an average of 14 months（range,6-24 months）.No recurrent case and additional complication was noted.Conclusion Prevention is emphasized for delayed cerebrospinal fluid leakage in operation and recreation.The majority of cases can be cured by conservative treatment.A few cases failing in conservative treatment need reopen incision for repairing dura mater.
出处
《淮海医药》
CAS
2011年第4期303-305,共3页
Journal of Huaihai Medicine
关键词
腰椎手术
手术后并发症
迟发性脑脊液漏
防治
Lumbar spinal operation
Complication
Delayed cerebrospinal fluid leakage
Prevention and treatment
