儿童脊髓纵裂手术治疗的并发症

Postoperative complications of diastematomyelia

目的 研究脊髓纵裂手术并发症,提高手术疗效,提出预防措施。方法 我院自1978年8月至2001年7月手术治疗脊髓纵裂患儿39例,6例出现不同程度并发症,发生脑脊液漏2例、神经损伤3例、硬膜外血肿1例。对6例并发症的原因、时间、治疗、预后、临床表现进行分析。结果 6例并发症产生原因是由于术中硬膜的修补不完善、损伤及牵拉脊髓,止血不严密造成,经治疗预后较好。结论 手术中熟悉脊髓纵裂解剖特点,显微操作,严密止血可避免并发症。

Objective To study postoperative complications of diastematomyelia and increase the ef- ficacy of surgical treatment. Methods From Aug. 1978 to July. 2001, 39 patients with diastematomyelia were received operation in which 6 cases had surgical complications. The factors responsible for the compli- cations including character, clinical presentations, treatment and prognosis were analyzed. Results The complications consisted of cerebrospinal fluid leakage (2), nerve injury (3) and epidural haematoma (1) . The common causes were incomplete dura repair and hemostasis, spinal injury and traction. Conclusion Postoperative complications of diastematomyelia can be effectively prevented by anatomical speciality ac- quaintance, micromanipular technique and meticulous hemostasis during operation.