摘要
目的探讨运用中心静脉导管置管引流联合腰围加压治疗老年人胸腰椎后路术后脑脊液漏的治疗效果。方法回顾性分析2004年1月-2010年10月我院因胸腰椎疾病行脊柱后路手术后并发脑脊液漏的老年患者41例，男，21例，女，20例，年龄60-80岁，平均年龄67岁。按处理方式不同分为A组（18例）和B组（23例），A组采用中心静脉导管穿刺置管引流联合腰围加压治疗，其余治疗方法为B组。对A组和B组患者住院时间、抗生素使用时间及切口愈合情况进行统计分析，并进行比较。结果A组18例患者的住院时间、抗生素使用时间及切口I级愈合情况与B组比较，均有统计学意义（P〈0．05），A组未出现严重的并发症及后果。结论中心静脉管置管引流联合腰围加压治疗老年人脊柱后路术后脑脊液漏能取得良好的治疗效果。
[ Objective ] To investigate the effect of applying Central venous catheter drainage combined with the waist belt compression to treat elderly patients with cerebrospinal fluid leakage after posterior thoracic and lumbar spinal surgery. [Methods] From January 2004 to October 2010 in our hospital, 41 cases of elderly patients with cerebrospinal fluid leakage after posterior thoracic and lumbar spinal surgery, including 21 males, 20 females, aging 60 to 80 years （average, 67 years）, were retrospectively reviewed. All patients were classified into Group A （Central venous catheter drainage combined with the waist belt compression） and Group B （without Central venous catheter drainage combined with the waist belt compression）. The hospitalization, antibiotics and wound healing time were recorded and compared, respectively： [ Results ] The two groups had significant differences with respect to the time of hospitalization, antibiotics and incision healing rate of grade I （P 〈0.05） and Group A has no serious complications and consequences. [ Conclusion ] Applying Central venous catheter drainage combined with the waist belt compression to treat elderly patients with cerebrospinal fluid leakage after posterior thoracic and lumbar spinal surgery can achieve good therapeutic effect.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第27期3418-3420,共3页
China Journal of Modern Medicine
关键词
脑脊液漏
老年人
脊柱后路
置管引流
cerebrospinal fluid leakage
elderly patients
posterior spinal surgery
Central venous catheter drainage
