腰椎后路融合手术473例围手术期并发症分析

The analysis on the perioperative complications of posterior lumbar fusion surgery

目的：探讨分析腰椎后路融合手术围手术期并发症的特点及治疗。方法回顾性研究2010-01～2012-12在该院接受腰椎后路融合手术患者473例，分析其围手术期并发症的特点及治疗。结果473例患者中围手术期出现并发症56例60例次（12.68％），其中神经根刺激症状16例，伤口感染10例，脑脊液漏8例，泌尿系统疾病7例，消化系统疾病6例，血液系统疾病5例，心肺系统疾病8例，所有并发症经对症处理后好转出院。结论腰椎后路融合手术围手术期并发症的发生严重影响了手术疗效及患者的满意度，因此除了严格掌握手术适应证及手术操作外，围手术期间有针对性的预防更有利于减少并发症的发生。

Objective To analyse the characteristics and treatment for perioperative complications of posteri -or lumbar fusion surgery .Methods From January 2010 to December 2012 , 473 patients underwent posterior lumbar fusion surgery in our hospital , and the characteristics and treatment of perioperative complications were analysed ret -rospectively.Results Of 473 patients, 60 complications during the perioperative period occurred in 56 cases （ ac-counted for 12.68%） , including nerve root irritation （ 16 cases ） , incision infection （ 10 cases ） , cerebrospinal fluid leakages（8 cases）, urinary system diseases（7 cases）, digestive system diseases（6 cases）, hematologic system dis-eases（5 cases）, cardiopulmonary system diseases （8 cases）.And the complications were improved after symptomatic treatment .Conclusion Perioperative complications of posterior lumbar fusion surgery may seriously affect the clinical result of the surgery and patients′satisfactions .So besides the surgical indications and skilled technique , the targeted prevention during the perioperative period in advance is more advantageous to reduce the occurrence of complications .