摘要
目的:探讨腰椎管狭窄术后迟发性血肿形成的各种相关因素。方法与结果:本院2年来共行腰椎管狭窄手术241例,其中3例患者术后并发血肿,且均为迟发性,发生率为1.3%。3例患者均采用后路全椎板减压植骨融合内固定术,出现血肿压迫症状时间,最长术后5天,最短2天,平均为3天,分别于血肿发生后4～12h内行血肿清除术及止血,血肿清除后4～6h运动及感觉等功能开始恢复。结论:术后引流不畅是形成迟发性血肿的最主要因素,止血不彻底及处理不当、抗凝剂的应用也增加了血肿形成的可能。
Objective： to explore the related factors of postoperative delayed hematoma of lumbar spinal stenosis. Methods and Result： 241 cases of spinal stenosis were treated with operation in our hospital within two years, of which threee cases arose postoperative delayed hematoma.The incidence rate was 1.3%. The data of three case were analyzed regarding time of hematoma, secondary operation, recovery of function etc. Conclusion： Inadequate drainage of postoperative patients is the most critical factor to the delayed hematoma. Incomplete hemostasis and application of anticoagulant and so on increase the possibility of hematoma.
出处
《辽宁中医药大学学报》
CAS
2010年第4期110-111,共2页
Journal of Liaoning University of Traditional Chinese Medicine
关键词
腰椎管狭窄症
手术后
迟发性血肿
lumbar spinal stenosis
postoperative
delayed hematoma
