Bilateral papilloedema associated with lumbo-sacral intraspinal tumor

Objective To study the possible mechanism of bilateral papilloedema associated with intraspinal tumor at the lumbo sacral level Methods Three cases were reported Detailed clinical history was evaluated Patients were followed up for 2, 3 and 5 months after resection of the tumor Related literature was reviewed Results Papilloedema was soon resolved and the level of protein in the cerebrospinal fluid (CSF) decreased significantly after resection of tumor These indicated a close relationship between papilloedema, CSF protein and intraspinal tumor Conclusion This is the first report of papilloedema associated with a lumbo sacral intraspinal tumor in Chinese literature The high level of protein in CSF may be the cause of both papilloedema and increased intracranial pressure In patients with bilateral papilloedema, if no intracranial cause could be found, lumbo sacral intraspinal tumor should be considered

骶骨肿瘤切除术后脑脊液漏临床分析

目的探讨骶骨肿瘤切除术后脑脊液漏处理方法。方法将20例骶骨肿瘤术后脑脊液漏患者分为2组:非手术组(A组)通过改变体位、局部加压、对症治疗等非手术方法处理;手术组(B组)通过再次清创缝合漏口加局部持续引流的手术方法处理。分别观察两种方法对骶骨肿瘤切除术后脑脊液漏的控制情况。结果两种治疗方法脑脊液漏停止时间无统计学差异(P>0.05),创口愈合时间A组短于B组,B组病人有1例发生深部感染并发颅内感染。结论通过非手术方法能够较好的控制骶骨肿瘤术后脑脊液漏并发症的发生。

术后俯卧位护理对腰骶段椎管内肿瘤切口愈合的影响

目的探讨腰骶段椎管内肿瘤术后采用俯卧位护理对术后切口愈合的影响。方法选取2021年1月至4月在首都医科大学附属北京天坛医院神经外科脊髓脊柱病区接受腰骶段椎管内肿瘤手术治疗的80例患者为研究对象,根据随机数字表法将患者分为试验组(40例)和对照组(40例)。试验组术后采用俯卧位护理,对照组术后采用仰卧位护理,比较两组术后脑脊液漏发生率、切口愈合率、住院时间以及患者舒适度情况。结果试验组切口愈合程度优于对照组,脑脊液外漏发生率、住院时间及舒适度评分低于对照组,差异有统计学意义(P<0.05)。结论俯卧体位护理有助于减少腰骶段椎管内肿瘤患者术后脑脊液漏,促进切口愈合,缩短住院时间。