摘要
目的：分析腰椎间盘手术中硬脊膜损伤的原因，探讨术后脑脊液漏的防治。方法：回顾１９９０年至１９９８年间４３例腰椎间盘手术致硬脊膜损伤的临床资料。结果：经切口放置引流管的１２例病人，有８例于拔管术后发生了切口脑脊液漏，经切口旁皮肤，椎旁肌置管的３１例病人，拔管后无一例发生切口脑脊液漏。结论：硬脊膜损伤的主要原因是手术操作误伤，防止术后发生切口脑脊液漏的主要措施是保护或修复脊膜，经切口旁椎旁肌放置引流管，并严密缝合腰背筋膜。
Aim:To analyze the causes of dural damages during lumbar disc surgery and to probe the prevention and management of cerebrospinal fluid leakage after operation.Methods:Clinical materials of 43 patients who had dural damages during lumbar disc surgery form 1990 to 1998,were retrospectively analyzed.Results:Eight out of 12 patients,who had drainage tube set from incision, had cerebrospinal fluid leakage after decannulation,while none of 31 patients ,who had drainage tube set through para incision,had cerebrospinnal fluid leakage after decannulation.Conclusions:Damages to dura were mainly caused during operation.It is very important to protect or repair dura during operation,to set drainage tube through para incision and to suture lumbodosal fasia tigytly in the prevention of cerebrospinal fluid leakage.
出处
《颈腰痛杂志》
1999年第2期120-121,共2页
The Journal of Cervicodynia and Lumbodynia
关键词
脑脊液漏
预防
腰椎间盘突出
外科手术
Lumbar disc surgery\ Dural damage\ Cerebrospinal fluid Leakage Prevention
