脊柱前路手术髂前嵴取骨并发症相关分析  

Complications of anterior iliac crest bone harvested in spine surgery

作　　者：邱勇[1] 刘臻[1] 王斌[1] 俞杨[1] 朱泽章[1] 钱邦平[1] 朱锋[1] 马薇薇[1] 

机构地区：[1]南京大学医学院附属鼓楼医院脊柱外科,南京市210008

出　　处：《中国脊柱脊髓杂志》2007年第8期584-587,共4页Chinese Journal of Spine and Spinal Cord

基　　金：南京市医学科技发展项目(ZKX05016)

摘　　要：目的:探讨脊柱前路手术髂前嵴取骨的并发症发生情况。方法:回顾性分析2001年1月-2005年9月取髂骨行脊柱植骨融合术的154例患者,取骨部位均为髂前嵴,统计供骨区并发症,分析其相关因素。结果:术后随访时间均超过1年。28例(18.2%)患者发生不同程度的并发症,其中14例(9.1%)出现轻度并发症,12例(7.8%)出现中度并发症,2例(1.3%)出现重度并发症。127例(82.5%)患者接受了问卷调查,其中17例(13.4%)患者诉取骨处疼痛,疼痛自我感觉评分为1-6分(平均2分),其中3例(2.4%)患者需服用非甾体类抗炎药以减轻疼痛;7例(5.5%)患者诉取骨处有麻木感;无患者诉取骨处的疼痛及麻木感影响其日常活动;122例(96.1%)患者对供骨区切口外观满意。结论:髂前嵴取骨并发症中供骨区疼痛及麻木发生率较高,尤其是疼痛,应引起足够的重视。Objective：To determine the morbidity associated with anterior iliac crest bone graft in spine surgery.Method：154 consecutive patients underwent spinal surgery with anterior iliac crest bone graft from 2001 to 2005 were reviewed retrospectively.Result：Donor site complications were encountered in 28 of the 154 cases.The minor complication rate was 9.1%（14）.The rates of intermediate and major complications were 7.8%（12） and 1.3%（2） respectively.The responses of 127 patients to the interview showed 17（13.4%） patients reporting pain at the iliac crest site.The self-reported pain,on a scale of 1 to 10,ranged from 1 to 6 with a mean of 2.Nonsteroid anti-inflammatory drugs（NSAIDS） were taken by three（2.4%） patients for relieving pain at the bone graft site.7（5.5%） mentioned numbness surrounding the scar.No patients reported problems with daily activities.122 （96.1%） patients reported their satisfaction with regard to the cosmetic appearance of the wound and the result of the graft procedure overall.Conclusion：Incision pain and numbness are the chief complications in patients with anterior iliac crest bone graft.This retrospective study confirms that donor site pain will bring a significant postoperative management problem.

关 键 词：骨移植 并发症 髂嵴 

分 类 号：R619[医药卫生—外科学] R682.3[医药卫生—临床医学]