脊柱手术中脑脊液漏伴硬脊膜损伤的治疗进展

目的分析探讨脊柱手术中脑脊液漏伴硬脊膜损伤的治疗方法及疗效.方法：选取100 例脊柱手术患者进行回顾性分析,分析探讨其疗效.结果：55 例出现了脑脊液漏的现象,在治疗后的 3-12 后脑脊停止漏液,手术切口均在2-3 星期之后痊愈,患者肢体功能均恢复正常,没有留下后遗症,无1 例患者出现中枢脑神经系统感染的现象.术后随访1-18 个月,无1 例患者复发,或者出现脑脊液囊肿症状.结论：有效的术中以及术后处理,能够在很大程度上减少脊柱手术中脑脊液漏与硬脊膜损伤现象的发生.

Objective To investigate the treatment method and effect of cerebrospinal fluid leakage and spinal dural injury in spinal surgery. Methods： 100 cases of patientswere selected as the research object, the clinical data were retrospectively analyzed, and the clinical data were analyzed. Results： 55 cases of cerebrospinal fluid leakage phenomenon,after the treatment of 3-12 after spinal fluid leakage, surgical incision were healed in 2-3 weeks, patients with limb function were restored to normal, there is no sequelae, 1 cases ofpatients with central nervous system infection. The patients were followed up for 1-18 months, 1 cases had no recurrence, or symptoms of cerebrospinal fluid cyst. Conclusion：effective intraoperative and postoperative postprocessing, can reduce the occurrence of cerebrospinal fluid leakage and dural injury in spinal surgery.