腰椎手术并发症-脑脊液漏的研究进展  

Research Progress of Cerebrospinal Fluid Leakage in Lumbar Spine Surgery

作　　者：李全[1] 张源[1] 梁跃伟 阮锐[1] 赵学凌[1] 谢世伟[1] 张霖[1] 

机构地区：[1]昆明医科大学第一附属医院骨科,云南昆明650032

出　　处：《昆明医科大学学报》2017年第9期129-133,共5页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81560366);云南省内设机构科研基金资助项目(2016NS021)

摘　　要：脑脊液漏(CSF)是腰椎手术常见的并发症.过去10 a中,在理解脑脊液漏的基础上,腰椎术后脑脊液漏的护理和治疗技术取得重大的进步.回顾以前腰椎手术术中或术后导致脑脊液漏的不同因素及治疗技术的相关文献,提出可供选择的护理和治疗方法及各种技术,并重点强调目前的治疗趋势.讨论介绍了脑脊液漏的发生因素,基本概念和实践治疗方法.腰椎术后脑脊液漏的各种管理技术以及不同预后在本文中做了很好的陈述.然而,目前并没有最理想的治疗技术可供选择,在每一种具体情况下,每种治疗技术的选择依赖于每个外科医生的经验,对患者病情的认识,脑脊液漏的性质和部位,以及依赖现有的设施和设备.Cerebrospinal fluid leakage（CSF ） is a common complication of lumbar spine surgery. Over thepast decades,there has been significant advancement in understanding the basis, management and techniques oftreatment for post-operative CSF leak following lumbar spine surgery. In this article, we review previous lumbarsurgery or after surgery in literatures related to different factors and treatment of cerebrospinal fluid leakage, forselection of care and treatment methods and technology are presented and emphasis on the current treatment trends.This article also discusses the factors that cause the leakage of cerebrospinal fluid,the basic concepts and methods ofpractice. Cerebrospinal fluid leakage after operation of various management techniques and different prognosis in thispaper madea good statement. However,there is no ideal treatment options available, in each case, the choice ofevery kind of treatment technology depends on each surgeon＇s experience, understanding of each patient＇scondition,nature and the location of cerebrospinal fluid leakage and relys on the existing facilities and equipment.

关 键 词：腰椎手术 并发症 脑脊液漏 硬脊膜撕裂 

分 类 号：R605[医药卫生—外科学]