蛛网膜下腔引流治疗胸腰椎椎板切除术后假性硬脊膜囊肿2例报道被引量：2

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摘要硬膜破裂是脊柱手术中的一种相对常见的并发症,手术修补是治疗的常规方法。继发于硬膜破裂而形成的假性硬脊膜囊肿是一种少见并发症,多数患者并无症状,仅在术后复查MRI时发现。少数患者由于囊肿压迫脊髓、神经根而出现相应症状。我们收治2例胸腰椎椎板切除术后发生假性硬脊膜囊肿患者，对其诊治体会总结如下。

作者胡海量沈惠良

机构地区首都医科大学宣武医院骨科

出处《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2010年第5期439-440,共2页 Chinese Journal of Spine and Spinal Cord

关键词假性硬脊膜囊肿椎板切除术后引流治疗胸腰椎蛛网膜下腔少见并发症硬膜破裂手术修补

参考文献5

1Aldrete JA,Ghaly R.Postlaminectomy pseudomeningocele:an unsuspected cause of low back pain[J].Reg Anesth,1995,20(1):75-79.
2Pavlou G,Bucur SD,van Hill PT.Entrapped spinal nerve roots in a pseudomeningocele as a complication of previous spinal surgery[J].Acta Neurochir(Wien),2006,148(2):215-220.
3Liaropoulos K,Spiropoulou P,Papadakis N,et al.Recurrence of sciatica following hemilaminectomy for disc hemiation[J].Eur J Orthop Surg Traumatol,2003,13(3):235-240.
4Maycock NF,Van Essen J,Pfitzner J.Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch[J].Spine,1994,19 (20):2223-2225.
5Stambough JL,Templin CR,Collins J.Subarachnoid drainage of an established or chronic pseudomeningocele[J].J Spinal Disord,2000,13(1):39-41.

1Weng Y J, Cheng C C, Li Y Y, et al. Management of giant pseudomeningoceles after spinal surgery. BMC Musculoskelet Disord,2010,11 (2):53.
2Aldrete J A, Ghaly R. Postlaminectomy pseudomeningocele. An unsuspected cause of low back pain. Reg Anesth,1995,20(1):75-79.
3Paolini S, Ciappetta P, Piattella M C. Intraspinous postlaminectomypseudomeningoeele. Eur Spine J,2003,12(3):325-327.
4Rinaldi I, Peach W J. Postoperative lumbar meningoeele. Report of two eases. J Neurosurg,1969,30(4):51M-507.
5Tepliek J G, Peyster R G, Tepliek S K, et al. CT Identification of postlaminectomy pseudomeningocele. AJR Am J Roentgenol, 1983,140(6):1203-1206.
6Miller P R, Elder F J. Meningeal pseudoeysts (meningoeele spurlus) following laminectomy. Reportof ten cases. J Bone Joint Surg Am, 1968,50(2):268 -276.
7吕振好,王继秀,刘瑞高.椎板减压术后假性脊膜囊肿1例报告.中国脊柱脊髓杂志,1998,2(2):23.
8朱玉金.腰椎管探查术后并发硬膜囊肿1例报告.中国脊柱脊髓杂志,1996,24(3):122.
9Shapiro S A, Scully T. Closed continuous drainage of cerebrospinal fluid via a lumbar subarachnoid catheter for treatment or prevention of cranial/spinal cerebrospinal fluid fistula. Neurosurgery, 1992,30(2):241-245.
10Black P. Cerebrospinal fluid leaks following spinal or posterior fossa surgery: use of fat grafts for prevention and repair. Neurosurg Focus,2000,9(1):34.

中国脊柱脊髓杂志

2010年第5期

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