摘要
目的:探讨应用胸腔镜辅助脊柱前路手术并发症的发生原因和防治方法。方法:1998年10月～2003年5月应用胸腔镜辅助脊柱前路手术治疗各种胸椎疾病患者118例,手术方式包括锁孔和小切口技术,清除病灶和/或内固定重建,统计并发症发生情况,分析发生机制和防治方法。结果:本组共发生并发症10例,其中肺炎合并胸腔积液2例,暂时性单侧肢体瘫痪1例,轻度后凸畸形和局部疼痛2例,结核病灶清除前路重建术后8个月结核复发1例,术中套管损伤肺1例,单侧支气管积脓致肺炎、肺不张3例。结论:胸腔镜手术比传统开胸手术创伤小,但存在胸腔镜技术特有并发症,只有掌握操作原则、改善麻醉技术、严格手术适应证和完善围手术期处理,才能发挥胸腔镜技术的优势,减少并发症的发生。
Objective: To analyze occurrence prevention and treatment of the complications of thoracoscopic assisted thoracic spine surgery.Method:Retrospective review of 118 patients who underwent standard thoracoscopic technique or video-assisted thoracic surgical procedure since Oct 1998 to May 2003.The treatment of thoracic disease included debridment and/or spinal reconstruction.The total number and type of all complications were recorded,and its mechanism,prevention and treatment were analyzed.Result:Complications occurred in 10 patients.1 patient′s lung was injuried by the trach.2 patients suffered from pneumonia,3 pulmonary atelectasis,1 patient obtained transient monoplegia,2 patients suffered from kyphosis deformation and pain.Spinal TB relapsed 8 monthes after thoracosiopic procedure in one patient.Conclusion:Thoracicscopic technique is mininvasive.The complication incidence of thoracoscopic spinal approaches is low.Some complication are special to thoracicscopic technique.However once obey operation principle with ameliorated anesthesia technic,proper surgical indication and consummated the perioperative treatment,thoracoscopic assisted spinal anterior approaches prove to be safe and good operative procedures.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2004年第6期338-341,共4页
Chinese Journal of Spine and Spinal Cord
关键词
胸腔镜
脊柱
前入路
手术
并发症
Thoracicscopic
Spine
Anterior approach
Operation
Complication
