颈椎前路术后硬膜外血肿分析与防治

Analysis and Prevention and Cure of Spinal Epidural Hematoma Following Anterior Cervical Operation

目的:探讨颈椎前路术后发生硬膜外血肿的相关因素及其防治措施。方法:2001年8月～2010年8月共行颈椎前路手术892例,3例术后出现了颈椎硬膜外血肿,并通过再次行血肿清除减压术得到证实,回顾分析该3例患者出现硬膜外血肿的相关因素。结果:本组病例出现硬膜外血肿的相关因素:止血不彻底1例,伤口引流障碍2例。3例患者神经系统症状均有恢复。结论:外科手术操作水平和术后伤口引流障碍是颈椎前路术后硬膜外血肿发生的高危因素,早期发现并尽快再次手术清除血肿利于患者神经功能的恢复。

Objective： TO explore thecorrelative factors, prevention and cure of spinal cpidural hematoma（SEH） following anterior cervical operation. Methods： Aretrospective study was done On 892 cases who underwent antei＇ior cervical operation from August 2001 tO August 2006, of which 3cases had SEH that Was verified by hematoma debridement and decompression. Results： The risk factors among the 3cases Of SEH were incomplete stopping bleeding in 2 cases, obstructed drainage in 1 case. Conclusion： Snrgical Skills and obstrncted drainage might be important risk factors associated with SEH following anterior cervical operation. Earlydiagnosis and hematoma dehridement must be per formed as soon as possible once neurological deficit is found.