CAJ | 학술논문

目的：分析脊柱手术后脑脊液漏的原因，探讨其处理措施及疗效。方法：收治行脊柱手术患者2116例，术后发生脑脊液漏21例，其硬脊膜损伤部位分别为颈椎3例，胸椎12例，腰椎6例。根据患者具体情况采取不同处理措施。结果：10例患者手术切口均在3～4 d内停止脑脊液渗出。11例脑脊液漏并颅内感染行腰大池持续引流，脑脊液漏停止，切口愈合后拔出引流管。结论：术后发生脑脊液漏时根据具体情况采取不同处理措施能获得良好的效果，脑脊液漏并椎管内感染时行腰大池持续引流治疗是关键。
목적：분석척주수술후뇌척액루적원인，탐토기처리조시급료효。방법：수치행척주수술환자2116례，술후발생뇌척액루21례，기경척막손상부위분별위경추3례，흉추12례，요추6례。근거환자구체정황채취불동처리조시。결과：10례환자수술절구균재3～4 d내정지뇌척액삼출。11례뇌척액루병로내감염행요대지지속인류，뇌척액루정지，절구유합후발출인류관。결론：술후발생뇌척액루시근거구체정황채취불동처리조시능획득량호적효과，뇌척액루병추관내감염시행요대지지속인류치료시관건。
Objective:To analyze the cause of cerebrospinal fluid leakage after spinal surgery,and to investigate its treatment measures and effect.Methods:2 116 cases with spinal surgery were selected.Cerebrospinal fluid leakage occurred in 21 cases postoperatively;the location of spinal dural injury was in cervical spine of 3 cases,12 cases of thoracic vertebra,6 cases of lumbar vertebra.Taking different actions based on the specific circumstances of the patients.Results:The cerebrospinal fluid stopped exudation from the 10 patient's surgical incision all within 3~4 days.Continuous drainage of lumbar cistern in 11 cases with cerebrospinal fluid leakage and intracranial infection,we pulled out the drainage tube after the cerebrospinal fluid leakage stopped and wound healing.Conclusion:Taking different actions depending on the specific circumstances of cerebrospinal fluid leakage occurred after operation can get good results.The lumbar continuous drainage is the key to the treatment of patients with cerebrospinal fluid leakage and infection.