腰椎管狭窄症术后迟发性血肿形成相关因素分析

目的:探讨腰椎管狭窄术后迟发性血肿形成的各种相关因素。方法与结果:本院2年来共行腰椎管狭窄手术241例,其中3例患者术后并发血肿,且均为迟发性,发生率为1.3%。3例患者均采用后路全椎板减压植骨融合内固定术,出现血肿压迫症状时间,最长术后5天,最短2天,平均为3天,分别于血肿发生后4～12h内行血肿清除术及止血,血肿清除后4～6h运动及感觉等功能开始恢复。结论:术后引流不畅是形成迟发性血肿的最主要因素,止血不彻底及处理不当、抗凝剂的应用也增加了血肿形成的可能。

Related Factors Analysis of Postoperative Delayed Hematoma of Lumbar Spinal Stenosis

Objective:to explore the related factors of postoperative delayed hematoma of lumbar spinal stenosis.Methods and Result:241 cases of spinal stenosis were treated with operation in our hospital within two years,of which threee cases arose postoperative delayed hematoma.The incidence rate was 1.3%.The data of three case were analyzed regarding time of hematoma,secondary operation,recovery of function etc.Conclusion:Inadequate drainage of postoperative patients is the most critical factor to the delayed hemato...