胸腰段脊柱前路手术并发症的临床防治分析

Prevention and Treatment of Anterior Thoracic and Lumbar Spine Clinical Complications

目的:探讨胸腰段脊柱前路手术并发症的术中预防和术后治疗。方法:对39例胸腰段脊柱骨折患者行前路减压及内固定术,观察术后并发症的发生及其治疗过程与转归。结果:39例患者中,气胸、乳糜液漏和切口疝均有1例,经过及时治疗,均于术后2周内治愈且顺利出院,术后半年至一年回访,均恢复良好。结论:胸腰段脊柱前路手术手术过程复杂,应充分做好手术准备,术中应谨慎操作预防并发症发生,术后严密观察患者病情变化,从而及时采取治疗措施,提高治愈率。

Obiective： To explore the road before rachis lumbav intraoperative complications of prevention and postoperative therapy. Methods：39 eases chest lumbar spine fracture padents underwent anterior decompression and fixa6on, observe the postopemtive complications of occurrence and treatment process and outcome. Results：Thirty-nine patients, pneumothorax, liquid leakage and incision hernia chylothorax are 1 case, after treatment, after two weeks in all healing and smooth discharge, after six months to one year for return visit, all good recovery. Conclusions：The thoracic spine lumbav road before surgery surgical process is complicated, should make full preparations, completes the surgery intraoperatie caution should operate to prevent complications occurred and the strict observation patient condition changes, thus take timely treatment measures to increase the curative rate.