椎管内肿瘤行切除术后发生切口并发症的危险因素分析  

Analysis of risk factors for incision complications after resection of intraspinal tumor

作　　者：刘琦[1] 马肃[1] 吴浩[1] 刘伟[2] 郝东宁[1] 

机构地区：[1]榆林市第一医院神经外科,陕西榆林718000 [2]榆林市第一医院脊柱外科,陕西榆林718000

出　　处：《颈腰痛杂志》2017年第6期552-554,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的研究引起椎管内肿瘤切除后切口发生并发症的危险因素。方法回顾性分析自2015-02-2016-06于我院接受切除椎管内肿瘤切除治疗的120例患者,按有无切口并发症分为两组,有切口并发症组26例,无切口并发症组94例。收集所有患者的一般资料并统计分析两组患者可能引起切口并发症的相关因素,包括性别、年龄、肿瘤性质、有无肥胖、有无吸烟、术前是否接受化疗放疗、手术入路、手术时间、术中出血量、有无脑脊液渗漏、术后有无肢体及大小便功能障碍。结果 26例患者术后出现切口感染。单因素分析显示2组性别、年龄、肿瘤性质、有无肥胖、有无吸烟、术前是否放疗、术前是否化疗、术中出血量、有无术后肢体及大小便功能障碍这9项相关因素差异无统计学意义(P>0.05);2组手术入路、手术时间、有无脑脊液漏3项相关因素差异有统计学意义(P<0.05)。结论研究结果显示椎管内肿瘤切除术后切口并发症与手术入路、术后脑脊液漏、手术时间>3 h明显相关。Objective To study the risk factors of complications after resection ofintraspinal tumor. Methods From February 2015 to June 2016, the clinical data of 120 cases in our hospital received intraspinal tumor resection were retrospectively analyzed. According to whether had the incision complications, the patients were divided into incision complications group （26 cases） and no incision complications group （94 cases）. The general information of all patients were collecte＆ The related factors that may cause wound complications, including gender, age, tumor nature, without obesity, smoking or not, whether or not accepted the preoperative chemotherapy and radiotherapy, surgical bleeding, operative time, volume, with or without cerehrospinal fluid leakage, postoperative limb dysfunction and defecation dysfunction, were statistically analyzed. Results 26 cases occurred postoperative wound infection. Univariate analysis showed that there were no statistically significant differences between the two groups in the following nine factors： gender, age, tumor nature, without obesity, smoking, preoperative radiotherapy, preoperative chemotherapy, intraoperative bleeding, no postoperative limb and defecation dysfunction （P〉0.05）. There were significant differences between the two groups in the surgery way, operation time and leakage of cerebrospinal fluid （P〈0.05）. Conclusion The results show that the incision complications after resection of intraspinal tumors are significantly correlated with the surgical approach, postoperative cerebrospinal fluid leakage, operation time more than 3h.

关 键 词：椎管内肿瘤 手术切除治疗 切口并发症 危险因素 

分 类 号：R739.4[医药卫生—肿瘤]