[1]袁振超,黄保华,陈远明,等.采用椎间融合器cage行后路腰椎椎间融合术的并发症分析[J].中医正骨,2013,25(07):64-66.
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采用椎间融合器cage行后路腰椎椎间融合术的并发症分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第25卷
期数:
2013年07期
页码:
64-66
栏目:
临床报道
出版日期:
2013-07-31

文章信息/Info

作者:
袁振超黄保华陈远明陈锋周先明黄民锋刘万祥
广西中医药大学附属瑞康医院,广西 南宁 530011
关键词:
腰椎 脊柱融合术 手术中并发症 手术后并发症
摘要:
目的:探讨采用椎间融合器cage行后路腰椎椎间融合术的并发症发生原因及解决方法。方法:2007年1月至2010年10月,采用椎间融合器cage行后路腰椎椎间融合术治疗腰椎退行性病变患者96例,男56例,女40例。年龄37~69岁,中位数56岁。腰椎滑脱50例,腰椎管狭窄29例,腰椎间盘突出症17例。合并骨质疏松症18例。病程6个月至21年,中位数12年。随访观察术中和术后并发症的发生情况。结果:所有患者均获随访,随访时间6~18个月,中位数16个月。腰椎融合节段:L3~L431例,L4~L541例,L5~S154例。术中cage植入位置不良31例,在C形臂X线机透视下重新调整位置。硬脊膜撕裂6例,及时修复后未出现脑脊液漏。神经损伤3例,采用激素、脱水剂结合营养神经药物进行治疗,1周后恢复。cage塌陷5例,其中3例无任何不适症状,均为复查时摄X线片发现,延长卧床时间后cage未继续塌陷; 2例出现神经压迫症状,取出cage后采用自体骨椎间植骨融合。cage移位3例,椎间隙感染1例,均取出cage,并采用自体骨椎间植骨融合。结论:采用椎间融合器cage行后路腰椎椎间融合术的并发症应引起临床重视。术前完善各项检查尤其是骨密度测定,术中规范操作,在C形臂X线机透视下调整cage位置,术后指导患者进行功能锻炼,3个月内禁止负重下地行走,均可有效降低其并发症的发生率。

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更新日期/Last Update: 1900-01-01