持续腰穿引流治疗脊柱手术后脑脊液漏.pdfVIP

656 巾闵脊校脊髓杂志 2ω4 年第 14 卷第 11 期 Chinese }ouma1 0/ Spine and Spina1 Cord,2004,vo1.1 4,No.1 1 E监血重叠噩翠 持续腰穿引流治疗脊柱子术后脑脊液漏 张海兵 l ，王文军 l ，易红卫 2 (1 南华大学附属一医院 421001 糊商省衡阳市 ;2 南华大学附属湘潭医院 411101 湖南省湘潭市) {摘要}目的:探讨脊柱外科手术后脑脊液漏的有效治疗措施。方法:对 1994 年 5 月 4∞3 年 11 月我院脊柱外 科手术后 64 例脑脊液漏患者的治疗进行回顾性分析，根据治疗方法分为两组 :A 组以俯卧位和伤口加压为主， 辅以甘露回事脱水 ;B 组以持续腰穿寻|流为主，辅以甘露醇脱水，平卧位或侧卧位。结果 :A 组治愈率 8 1. 5% ， 5 例 仍有脑脊液漏，其中 4 例经持续腰穿号|流后痊愈， 1 例再次手术冲洗引流痊愈必组 32 例经持续腰穿引流 3-7d 后痊愈，治愈率 1 创)%。结论:持续腰穿寻|流是治疗脊柱手术后脑脊液漏安余有效的方法。 [关键词]持续腰穿引流;脑脊液漏 中阁分类号 :R687 .1 文献标识码 :A 文章编号 :loo4-406X(2004)-11-0656-03 Continued lumbar cerebrospinal f1uid dr划nage 叩，plied for cerebrospinal fIωd leakage after spine op. erationlZHANG Haibin,WANG Wenjun,YI Hongwei//Chinese Journal of Spine and Spin划 Cord ， 2004 ， 14(11) :656时658 [Abstract] Objective:To evaluate the value of continued lur山 er cerebrospinal fluid drainage (CLCFD) in the patient自 with cerebrospinal fluid leakage after spinal operation.Method:From May 1994ωNovember 2003 , there w曹陀 64 cases of cerebrospinal fluid (CSF) leakage patients after operation in our department.Those pa? tients we陀 divided into two groups according ωtherapy : group A, patients were treated conservatively mainly with bed rest in the prone po自 ition.Group B,continued lumbar cerebrospinal fluid drainage wa自 applied.Result: Successful treatment was achieved in 81.5% among group A.There were still 5 cases with CSF leakage ,4 ca昂 创 of them were treated with CLCFD and recovered , the another one was cured by operation.AlI patients in