[1]张维平,刘卫义,常雯茜,等.腰大池引流联合鞘内注射治疗胸腰椎术后脑脊液漏并颅内感染10例[J].中国中医骨伤科杂志,2022,30(10):61-65+70.
　ZHANG Weiping,LIU Weiyi,CHANG Wenxi,et al.10 Cases Clinical Reports on Lumbar Cistern Drainage Combined with Intrathecal Injection on the Treatment of Cerebrospinal Fluid Leakage and Intracranial Infection after Thoracolumbar Surgery[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2022,30(10):61-65+70.
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腰大池引流联合鞘内注射治疗胸腰椎术后脑脊液漏并颅内感染10例()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第30卷
期数:
2022年10期
页码:
61-65+70
栏目:
临床报道
出版日期:
2022-10-15

文章信息/Info

Title:
10 Cases Clinical Reports on Lumbar Cistern Drainage Combined with Intrathecal Injection on the Treatment of Cerebrospinal Fluid Leakage and Intracranial Infection after Thoracolumbar Surgery
文章编号:
1005-0205(2022)10-0061-05
作者:
张维平1; 刘卫义2; 常雯茜1; 朱换平1; 李振军1; 鄢卫平1
1甘肃省中医院(兰州,730050)
2甘肃中医药大学
Author(s):
ZHANG Weiping1; LIU Weiyi2; CHANG Wenxi1; ZHU Huanping1; LI Zhenjun1; YAN Weiping1
1Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China;
2Gansu University of Traditional Chinese Medicine,Lanzhou 730030,China.
关键词:
腰大池引流;  鞘内注射;  脑脊液漏;  颅内感染
Keywords:
lumbar cistern drainage;  intrathecal injection;  cerebrospinal fluid leakage;  intracranial infection
分类号:
R681.5
文献标志码:
B
摘要:
目的:观察腰大池引流联合鞘内注射治疗胸腰椎术后脑脊液漏并颅内感染的临床效果。方法:回顾2016年9月至2021年5月行胸腰椎手术后出现脑脊液漏并发颅内感染患者共10例,均行腰椎穿刺腰大池置管引流并联合鞘内注射抗生素,观察并记录脑脊液漏消失时间和感染控制时间。结果:10例患者伤口均一期愈合,治愈出院,平均脑脊液漏消失时间为5.6 d,平均感染控制时间为9.3 d。结论:腰大池引流联合鞘内注射治疗胸腰椎术后脑脊液漏并颅内感染是一种相对安全、有效的方法,操作简单,避免了二次手术的创伤及风险,值得临床推广应用。
Abstract:
Objective:To observe the clinical efficacy of lumbar cistern drainage combined with intrathecal injection on the treatment of cerebrospinal fluid leakage and intracranial infection after thoracolumbar surgery.Methods:A total of 10 patients with cerebrospinal fluid leakage complicated with intracranial infection after thoracolumbar surgery from September 2016 to May 2021 were reviewed.All patients underwent lumbar puncture,lumbar cistern drainage and intrathecal injection of antibiotics.The disappearance time of cerebrospinal fluid leakage and infection control time were observed and recorded.Results:All the 10 patients healed in one stage and were cured.The average disappearance time of cerebrospinal fluid leakage was 5.6 d and the average infection control time was 9.3 d.Conclusion:Lumbar cistern drainage combined with intrathecal injection on the treatment of cerebrospinal fluid leakage and intracranial infection after thoracolumbar surgery is a relatively safe and effective method with simple operation,avoiding the trauma and risk of secondary surgery,which is worthy of clinical application.

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更新日期/Last Update: 2022-10-10