摘要
Abstract
Objective To study the different clinical efficacy of six treatments for cerebrospinal fluid(CSF for short) leakage after posterior lumbar operation. Methods 30 patients were classified into 6 groups according to different treatments. 30 patients in group a were treated by general method. 20 patients in group b underwent prolonging wound drainage. 5 patients in group c underwent lumbar percutaneous subarachnoid CSF drainage. 4 patients in group d underwent lumbar percutaneous sub-arachnoid CSF drainage immediately after operation. 3 patients in group e underwent method-maycock. group f underwent repairing endorhachis after operation. Then, the number of patients with complications, off-time of CSF leakage, incision healing rate were be analysed. Results In group a, 10 patients(33. 3% ) acquired wound healing, the average CSF leakage duration was 15 days postoperatively,and 2 patients had complications. In group b, 12 patients (60% ) acquired wound healing, the average CSF leakage duration was 18.5 days postoperatively, and 4 patients had complications. In group c, 5 patients ( 100% ) acquired wound healing, the average CSF leakage duration was 8 days postoperatively, and no one had complication. In group e, 3 patients ( 66. 6% ) acquired wound healing, the average CSF leakage duration was 3. 5 days postoperatively,and no one had complications. In last group, 7 patients( 100% ) acquired wound healing, and none of them had complication. Conclusion if the intraoperative repair of endorhachis was not satisfied, lumbar percutaneous subarachnoid CSF drainage were undergone immediately after operation. If the postoperative CSF leakage were found, lumbar percutaneous subarachnoid CSF drainage should undergo as soon as possible. Then it will obtain significant curative effect.关键词
腰椎/后路手术/脑脊液漏/治疗方法Key words
lumbar/ posterior approach/ cerebrospinal fluid (CSF) / treatment分类
医药卫生
