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颈椎术后脑脊液漏的处理
引用本文:孙兆忠,刘涛,房清敏,程艳,肖建如.颈椎术后脑脊液漏的处理[J].滨州医学院学报,2005,28(6):423-424.
作者姓名:孙兆忠  刘涛  房清敏  程艳  肖建如
作者单位:1. 滨州医学院附属医院骨科,滨州市,256603
2. 滨州市人民医院
3. 上海长征骨科医院
摘    要:目的探讨颈椎术后脑脊液漏的防治措施.方法对20例颈椎术后脑脊液漏患者临床资料进行回顾分析.结果 18例患者经一般处理及手术切口旁持续硬膜外引流于2~15 d内治愈,无切口不愈合、脑脊液囊肿形成、中枢神经系统感染及再次手术修补病例.2例患者经传统方法处理,分别发生脑脊液囊肿、中枢神经系统感染.结论手术切口旁持续硬膜外引流脑脊液,是预防和处理颈椎术后脑脊液漏简单、安全、有效的方法.

关 键 词:颈椎  脊柱融合术  脑脊液漏  颈椎  术后  脑脊液漏  预防和处理  surgery  cervical  vertebrae  cerebrospinal  fluid  leakage  postoperative  安全  引流脑脊液  持续硬膜外  发生  病例  手术修补  中枢神经系统感染  脑脊液囊肿  切口不愈合  治愈  外引流  手术切口
文章编号:1001-9510(2005)06-0423-02
收稿时间:2005-09-27
修稿时间:2005年9月27日

Treatment of the postoperative cerebrospinal fluid leakage in cervical vertebrae surgery
SUN Zhaozhong ,LIU Tao, FANG Qingmin ,et al.Treatment of the postoperative cerebrospinal fluid leakage in cervical vertebrae surgery[J].Journal of Binzhou Medical College,2005,28(6):423-424.
Authors:SUN Zhaozhong  LIU Tao  FANG Qingmin  
Affiliation:Department of Orthopedics, Affiliated Hospital of Binzhou Medical College, Binzhou 256603
Abstract:Objective To explore the prevention and treatment of the postoperative cerebrospinal fluid leakage in cervical vertebrae surgery. Methods 20 cases of the postoperative cerebrospinal fluid leakage in cervical vertebrae surgery data were processed by retrospective analysis . Results Through postoperative general treatment and continuous drainage outside the dura mater through paraincision, 18 cases were cured between 2 days to 15 days, no unhealing incision and centrale nervouse system infection and cerebrospinal fluid cyst and operativing repair occurred. 2 cases occured differently cerebrospinal fluid cyst and centrale nervouse system infection by traditional treatment. Conclusion Continuous drainage outside the dura mater through para-incision is a simple and safe and effective treatment to postoperative cerebrospinal fluid leakage in cervical vertebrae surgery.
Keywords:cervical vertebrae  spinal fusion  cerebrospinal fluid leakage
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