缝合和封堵填塞法处理颈椎前路术后脑脊液漏

摘要

Objective To investigate the influences of suture filling and sealing treatment in wound healing and prognosis of cerebrospinal fluid leakage after anterior cervical spine surgery.Methods 80 patients with cervical cerebrospinal fluid leakage after surgery who were treated in our hospital from May 2007 to May 2016 were selected.According to treatment method,the patients were divided into packing and sealing suture treatment group (study group,n=40) and conventional conservative treatment group (conventional group,n=40).The cerebrospinal fluid exudation,wound healing and nerve function recovery time,complications of the two groups were analyzed statistically.Results Compared with the control group,the cerebrospinal fluid exudation of the study group was significantly less (P＜0.05),the wound healing time was significantly shorter (P＜0.05).The neurological recovery good rate of the study group (95.0％,38/40) was significantly higher than the conventional group (75.0％,30/40) (P＜0.05),the incidence rate of complications (5.0％,2/40) was significantly lower than the conventional group (20.0％,8/40) (P＜0.05).Conclusion After anterior cervical cerebrospinal fluid leakage and sealing packing can effectively shorten the incision healing time of patients.%目的 探讨前路颈椎术后并发脑脊液漏的缝合与封堵填塞法处理对其切口愈合及预后的影响.方法 选取我院2007-05-2016-05收治的前路颈椎术后并发脑脊液漏患者80例,依据治疗方法将这些患者分为缝合与封堵填塞法处理组(研究组,n=40)和常规保守治疗法处理组(常规组,n=40)两组,对两组患者的脑脊液渗出量、切口愈合时间及神经功能恢复情况、并发症发生情况进行统计分析.结果 研究组患者的脑脊液渗出量显著少于常规组(P＜0.05),切口愈合时间显著短于常规组(P＜0.05),神经功能恢复率95.0％(38/40)显著高于常规组75.0％(30/40) (P＜0.05),并发症发生率5.0％(2/40)显著低于常规组20.0％ (8/40) (P＜0.05).结论 前路颈椎术后并发脑脊液漏缝合与封堵填塞能够有效缩短患者的切口愈合时间.