腰骶部轴向椎体间融合术的常见并发症及护理

Nursing and the Complications of the Axial Lumbar Interbody Fusion(AxiaLIF)

目的探讨轴向椎体间融合术微创治疗L5/S1失稳症,减少其最有可能发生的出血、感染、神经及毗邻结构损伤等并发症的护理内容。方法从腰骶部的解剖结构,轴向椎体间融合术工作通道的建立和手术入路等方面分析发生并发症的机理,相对应地采取彻底的术区皮肤准备,术前充分的肠道准备,术后严密地护理观察,和适时的功能锻炼等方面的护理。结果本组12病人无1例发生并发症,术后第2天戴腰围下床活动,随访3～9个月,病人症状较术前明显改善。结论轴向椎体间融合术的手术创伤小,术后恢复快,精心细致的护理能有效预防并发症的发生。

Objective To discuss the nursing of the Axial Lumbar interbody fusion（AxiaL1F） cure L5/S1 instability minimally, to reduce complications possibly caused. Methods Analyzing the mechanism of complications through anatomic structure of lumbar spondylolisthesis, the setting up of passage of AxiaLIF and operation approach etc., adopting nursing of thorough preoperative skin preparation, preoperative bowel preparation, postoperative nursing and clinical observation, and timely function exercises. Results None of 12 patients in this group had complications, follow-up medicine for 3 - 9 months, symptoms of patients had been better than before operation. Conclusion The AxiaLIF has little wound, and is fast in recovering, in which careful nursing can prevent the complications efficiently.