[1]袁学刚 田道锋 陈治标 陈谦学.改良腰大池持续外引流术治疗腰椎术后切口脑脊液漏[J].中国临床神经外科杂志,2017,(04):242-243.[doi:10.13798/j.issn.1009-153X.2017.04.012]
 YUAN Xue-gang,TIAN Dao-feng,CHEN Zhi-biao,et al.Application of modified lumbar cistern continuous drainage of CSF in the patients with CSF leakage after lumbar spinal surgery[J].,2017,(04):242-243.[doi:10.13798/j.issn.1009-153X.2017.04.012]
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改良腰大池持续外引流术治疗腰椎术后切口脑脊液漏()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年04期
页码:
242-243
栏目:
论著
出版日期:
2017-04-25

文章信息/Info

Title:
Application of modified lumbar cistern continuous drainage of CSF in the patients with CSF leakage after lumbar spinal surgery
文章编号:
1009-153X(2017)04-0242-02
作者:
袁学刚 田道锋 陈治标 陈谦学
430060 武汉,武汉大学人民医院神经外科
Author(s):
YUAN Xue-gang TIAN Dao-feng CHEN Zhi-biao CHEN Qian-xue.
Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
腰椎手术腰大池引流术切口脑脊液漏
Keywords:
Cerebrospinal fluid leakage Lumbar cistern drainage Lumbar spinal surgery Curative effect
分类号:
R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.04.012
文献标志码:
A
摘要:
目的 探讨改良腰大池持续外引流术(mLCD)治疗腰椎手术后切口脑脊液漏的效果和安全性。方法 2013年5月至2016年5月共行腰椎手术102例,术后并发切口脑脊液漏12例,均及时行mLCD。结果 12例中,1例在置管后第3天家属要求转上级医院治疗;其余11例均治愈出院,置管时间为3~7 d,平均5.13 d。结论 mLCD治疗腰椎术后切口脑脊液漏疗效确切、安全性高。
Abstract:
Objective To explore the curative effects of modified lumbar cistern continuous drainage (mLCCD) of cerebrospinal fluid (CSF) on CSF leakage after the lumbar spinal surgery and its safety. Methods Of 102 patients with lumbar spinal lesions undergoing lumbar spinal surgery from May, 2013 to May, 2016, 12 had CSF leakage and 90 not. The clinical data of those 12 patients with CSF leakage undergoing mLCCD were analyzed retrospectively. Results Of 12 patients with CSF leakage, 11 were cured and 1 was transferred to another hospital according to the patient’s family member’s request 3 days after the beginning of mLCCD. The duration of mLCCD ranged from 3 to 7 days (mean, 5.13 days). Conclusions The curative effect of mLCCD of CSF on CSF leakage after the lumbar spinal surgery and its safety are good. This technique is worthy of clinical application.

参考文献/References:

[1] Kothe R, Quante M, Engler N, et al. The effect of incidental dural lesions on outcome after decompression surgery for lumbar spinal stenosis: results of a multi-center study with 800 patients [J]. Eur Spine Journal, 2016, 16(10): 571-578.
[2] Str?mqvist F, J?nsson B, Str?mqvist B. Dural lesions in decompression for lumbar spinal stenosis: incidence, risk factors and effect on outcome [J]. Eur Spine J, 2012, 21(5): 825-828.
[3] Kim B, Jeon P, Kim K, et al. Predictive factors for response of intracranial dural arteriovenous fistulas to transarterial onyx embolization: angiographic subgroup analysis of treat- ment outcomes [J]. World Neurosurg, 2016, 88(10): 609- 618.
[4] 肖 胜,刘 金,喻军华,等. 改良 LCDF 在治疗开颅术后 颅内感染中的应用[J]. 医学临床研究,2016,33(1): 167-168.
[5] 肖 胜,王鸿生,武永康. 腰大池置管外引流术在动脉瘤 术后早期应用分析[J]. 中国临床神经外科杂志,2013,18 (1):52-53.
[6] 双 峰,唐家广,侯树勋,等. 多节段胸腰椎骨折后路椎弓 根螺钉内固定疗效[J]. 西南国防医药,2014,24(4): 400-402.
[7] Liu V, Gillis C, Cochrane D, et al. CSF complications following intradural spinal surgeries in children [J]. Childs Nerv Syst. 2014. 30(2): 299-305.
[8] Lauritzen M, Dreier JP, Fabricius M, et al. Clinical rele- vance of cortical spreading depression in neurological disorders: migraine, malignant stroke, subarachnoid and intracranial hemorrhage, and traumatic brain injury [J]. J Cereb Blood Flow Metab, 2011, 31(1): 17-35.

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备注/Memo

备注/Memo:

通讯作者:陈谦学,E-mail:chenqx666@sohu.com
更新日期/Last Update: 2017-04-25