摘要
目的:探讨胸椎黄韧带骨化症手术并发症的发生特点及其预防措施。方法:回顾354例胸椎黄韧带骨化症手术并发症发生情况。并对其进行分类、分析,总结其发生特点、规律,探讨预防措施。结果:胸椎黄韧带骨化症手术并发症发生率较高,主要包括:失血性休克或术中低血压48例(13.6%),脑脊液漏17例(4.8%);脊髓损伤22例(6.2%),其中截瘫3例(0.8%);术后硬膜外血肿形成压迫脊髓3例(0.8%)。结论:胸椎黄韧带骨化症手术并发症发生率高而且严重,规范化的术前准备和及时正确的术中、术后处理是预防和治疗胸椎手术并发症的关键。
Objective: To analysis and evaluate the treatment of the complications of thoracic decompression operation for thoracic stenosis due to ossification of ligamentum flavum. Methods: The complications were classied and analysised in 354 cases undergone thoracic decompression. Results: The rate of complications was higher consisted of low blood pressure or shock 48cases (13.6%), cerebrospinal leak 17 cases (4.8%),injury of spinal cord 22 cases (6.2%),paralysis 3 cases (0.8%) and epidural hematoma 3 cases(0.8%). Conclusion: The incidence of complications of thoracic decompression procedure is high and they are often severe.
出处
《天津医科大学学报》
2008年第4期558-560,共3页
Journal of Tianjin Medical University
关键词
胸椎
黄韧带骨化
手术
并发症
Thoracic
Ossification of ligamentum flavum
Operation
Complication