胸腰段脊柱前路手术并发症的临床防治分析

目的：正确选择胸腰椎爆裂骨折手术治疗方法,获最佳脊髓神经恢复和脊柱稳定,减少并发症.方法： 本组胸腰椎爆裂骨折前路手术36例,术前X摄片、CT检查 术后1、2、3、6个月、1年摄片及部分CT检查,观察固定和减压效果.结果： 本组病例1例发生腹膜后乳糜液漏,1例切口疝,1例气胸,2例深静脉血栓栓塞.经过积极治疗,全部治愈.结论： 胸腰段脊柱前路手术并发症的发生大多数和术者对该段解剖知识、手术操作、认识程度和经验有关,可以避免或及早发现.

Chest waist section spinal column road ahead surgery complication clinical preventing and controlling analysis

Objective： the correct choice chest lumbar vertebra ruptures the bone fracture surgery method of treatment, attains the best spinal nerves to restore with the spinal column is stable,reduces the complication. Methods： This group of chest lumbar vertebra ruptures bone fracture road ahead surgery 36, the technique first X absorbs the piece, the CT inspection; The technique latter 1,2,3,6 months, 1 year absorbs the piece and the part CT inspection,the observation fixed and the reduced pressure effect. Results; This group of case of illness 1 example has the retroperitoneal chyle fluid to leak, 1 example margin hernia, 1 example pneumothorax, 2 example deep vein thrombus embolism. After the positive treatment, cures com- pletely. Conclusion; The chest waist section spinal column road ahead surgery complication occurrence majority and the technique to this section of dissection knowledge, the surgery operates, the understanding degree with the experience related, may avoid or discover early,