摘要
目的探讨脊柱术后早中期再手术的原因。方法脊柱外科手术治疗脊柱疾病病人2 103例,术后随访3个月,共有86例病人行再手术治疗。对再手术治疗病人临床资料进行分析,总结再手术的原因。结果本组病人术后早中期再手术的总发生率为40.9‰,其中颈椎再手术率为43.1‰,胸椎为55.3‰,腰椎为37.8‰。再手术原因可分为血源性因素、感染性因素、减压失败、融合或内植物失败、邻近节段退变以及其他因素。结论脊柱术后早中期再手术的病例并不少见,其原因复杂多样,合理规范的诊治可避免再手术的发生,而及时正确的处理使再手术的预后令人满意。
Objective To analyze the incidence and causes of reoperation in the early and middle stage after spinal surgery. Methods From January 2011to October 2012,a total of 2 103patients underwent surgery for spinal diseases in our hospital.During three-month follow-up after surgery,86patients underwent a reoperation,their clinical data were analyzed,and the incidence and causes summarized. Results The incidence of reoperation was 40.9‰in this group,of which,cervical reoperation was 43.1‰,thoracic 55.3‰and lumbosacral 37.8‰.The causes included hemorrhage,infections,failed decompression,unsuccessful fusion or internal fixation,adjacent segment degeneration and others. Conclusion The clinical cases of reoperation in the early and middle stage after spinal surgery are not rarely seen,the causes being complex and diversified.The condition is avoidable by doing reasonable and standardized management.In-time and correctly deal with the reoperation is also satisfactory for its outcomes.
出处
《齐鲁医学杂志》
2014年第1期49-51,共3页
Medical Journal of Qilu
关键词
脊柱疾病
外科手术
再手术
spinal disease
surgical procedures
operative
reoperation
