脊柱手术并发隐性脑脊液漏的诊断和中西结合治疗  

The Diagnose and Integrated Treatment of Spinal Surgery Accompanied by Recessive Cerebrospinal Fluid Leakage

作　　者：张叶 

机构地区：[1]南阳市内乡县人民医院,河南南阳474300

出　　处：《中医临床研究》2015年第3期93-94,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:总结临床诊断与中西医结合治疗脊柱手术并发症隐性脑脊液漏症的经验。方法:选择95例实施脊柱手术的患者作为对象,回顾分析其临床诊断以及治疗的相关资料,观察隐性脑脊液漏并发症的发生情况,总结此并发症的诱发原因,对临床治疗效果加以统计。结果:医源性损伤所致隐性脑脊液漏的比率为70.0%,比其他因素高,P<0.05。通过对症治疗,10例患者的治愈率为100%,平均治愈时间为(4.9±2.3)d,所有患者均未出现继发性感染、脑脊液漏复发症状。结论:手术医源性损伤是造成隐性脑脊液漏并发症的主要因素,医师在早期准确诊断后,为患者实施积极地对症治疗,可使隐性脑脊液漏症状得到彻底有效地控制。Objective： To summarize the experience of the clinical diagnosis and treatment of spinal surgery complication of recessive eerebrospinal fluid leakage. Methods： Choose 95 cases of spinal surgery patients as the object implementation, review and analysis of relevant data of its clinical diagnosis and treatment, to observe the occurrence of recessive cerebrospinal fluid leakage complications, induced and summarized the reasons of this complication, to statistics on the clinical treatment effect. Results： the ratio of recessive cerebrospinal fluid leakage caused by iatrogenic injury is 70%.It is higher than other factors, P〈0.05. After treatment, 10 patients were cured, its rate was 100%. the average cure time is （4.9 ＋ 2.3） d. All patients had no secondary infection, cerebrospinal fluid leakage recurrence of symptoms. Conclusion： The operation of iatrogenic injury are the main factors that causeed recessive cerebrospinal fluid leakage complications.Physicians in the early accurate diagnosis,and the implementation of active symptomatic treatment for patients, can make recessive cerebrospinal fluid leakage been thoroughly and effectively control.

关 键 词：脊柱手术 并发症 隐性脑脊液漏 诊断 治疗 

分 类 号：R687[医药卫生—骨科学]