摘要
目的:分析后路腰椎椎间cage融合术常见的并发症并探讨对策。方法:对89例腰椎间盘突出症、下腰椎失稳症患者,经临床症状、体征和影像资料明确诊断且具有手术指征,并采用后路cage融合术治疗,对其中出现的并发症进行原因分析。结果:89例中出现并发症的有24例,包括神经症状加重、脑脊液漏、感染等近期并发症和症状缓解不明显、植骨不融合等远期并发症。术后神经症状加重5例,主要与手术适应症选择正确与否、影像学资料阅读能力高低、术者操作技能熟练程度等因素有关。结论:cage融合术是外科治疗椎间盘突出症的一种优良方法,术后神经症状加重和神经根损伤是最常见的并发症,正确把握手术适应症、熟练掌握操作技巧、提高并发症的诊断和处理能力是顺利开展该技术、提高临床疗效的关键。
Objective：To evaluate the complications associated with posterior lumbar interbody fusion with cages and explore countermeasures.Methods：89 patients who had lumbar disc herniation or lumbar spine instability had a clear diagnosis and surgical indications.They had been treated with posterior fusion cage and the complications were analyzed.Results：The complications were discovered in 24 cases,including neurological symptoms increasing,cerebrospinal fluid leak,infection,not obvious releasing symptoms,nonfusion,and other long-term complications.The postoperative neurological symptoms were observed heavy in 5 cases inceasing,which were related to follow factors,including choosing the correct operative indications,the level of ability to observe image data and proficient skills.Conclusion：posterior lumbar interbody fusion with cages is a good method.Operation skills and diagnosis of complications are the key of successful posterior lumbar interbody fusion with cages.
出处
《现代生物医学进展》
CAS
2008年第11期2088-2089,共2页
Progress in Modern Biomedicine
