CAJ | 학술논문

目的：探讨颈椎手术后脑脊液漏的原因及处理方法。方法：选择2006年3月～2012年12月皖南医学院附属弋矶山医院颈椎减压手术386例，对临床上有关治疗效果的数据进行观察与记录。结果：在386名患者中术后共发生脑脊液漏6例，其中男4例，女2例，前路4例，后路2例，年龄39～73岁，平均（56±14．51）岁。术后4例1～3 d发现脑脊液漏，2例第8～10天发现。2例采用切口旁引流，3例采用腰段蛛网膜下腔引流，1例采用加压包扎。所有病例均获随访，随访时间为10个月～2．5年，无切口感染及脑脊液囊肿形成。结论：颈椎术后并发脑脊液漏时，及时处理预后较好。脑脊液渗出较多时，可采用切口旁引流和蛛网膜下腔引流，渗出较少时，加压包扎。
목적：탐토경추수술후뇌척액루적원인급처리방법。방법：선택2006년3월～2012년12월환남의학원부속익기산의원경추감압수술386례，대림상상유관치료효과적수거진행관찰여기록。결과：재386명환자중술후공발생뇌척액루6례，기중남4례，녀2례，전로4례，후로2례，년령39～73세，평균（56±14．51）세。술후4례1～3 d발현뇌척액루，2례제8～10천발현。2례채용절구방인류，3례채용요단주망막하강인류，1례채용가압포찰。소유병례균획수방，수방시간위10개월～2．5년，무절구감염급뇌척액낭종형성。결론：경추술후병발뇌척액루시，급시처리예후교호。뇌척액삼출교다시，가채용절구방인류화주망막하강인류，삼출교소시，가압포찰。
Objective: To investigate the causes and treatment approaches to cerebrospinal fluid leakage after cervical spine surgery .Methods:386 pa-tients,undergone cervical spine decompression in the Affiliated Yijishan Hospital of Wannan Medical College between March 2006 and December 2012, were included,and the clinical data were kept concerning the treatment effects .Results:The patients aged from 39 to 73 years old with an average of 56 ± 14.51 years.In 386 patients,6 were complicated with cerebrospinal fluid leakage(4 males and 2 females),in whom 4 were associated with leakage after anterior incision and 2,posterior incision.The cerebrospinal fluid leakage occurred one to three days after the surgery in four cases,and 2 in 8 to 10 days. Two patients were treated with drainage next to the incision,3 with lumbar subarachnoid drainage,and 1 with pressure bandage.The total patients were followed up from 10 months to 2.5 years,and the results showed that no incision infection or cerebrospinal fluid cyst occurred .Conclusion:Timely inter-vention upon cerebrospinal fluid leakage can lead to better prognosis ,and relatively heavy leakage may be managed by neighboring drainage or subarach-noid drainage.Those with less leakage may be treated with pressure bandage.