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find Keyword "硬膜外血肿" 3 results
  • 强直性脊柱炎伴颈椎硬膜外血肿的诊治

    目的总结强直性脊柱炎伴颈椎硬膜外血肿的特点和诊治方法。 方法1994年1月-2009年2月,收治4例外力作用后发生颈椎硬膜外血肿的强直性脊柱炎男性患者。年龄56~67岁,平均62.8岁。出现症状至入院时间为8 h~5 d,平均46 h。Frankel分级:B级2例,C级2例。MRI检查示硬膜外血肿位于C3~T2。1例行颈椎后路手术;2例并发Ⅱ型呼吸衰竭及1例并发高血压、劳力型心绞痛者,行保守治疗。 结果手术治疗患者术后切口Ⅰ期愈合,获随访14个月,感觉平面由C6下降至C8,双上肢肌力较术前增加1级,双下肢肌力较术前无改善;Frankel分级为B级。保守治疗患者中,1例并发Ⅱ型呼吸衰竭者死亡;其余2例患者分别获随访12、18个月,感觉平面、双上下肢肌力及Frankel分级与治疗前比较均无改善。 结论颈椎硬膜外血肿是强直性脊柱炎的少见并发症,多由轻微过伸伤引起,常迟发性出现临床症状,MRI是首选诊断方法,预后较差。

    Release date:2016-08-31 05:39 Export PDF Favorites Scan
  • 自发性胸椎椎管内硬膜外血肿诊治一例

    Release date:2020-03-25 09:12 Export PDF Favorites Scan
  • Reasons analysis on unplanned reoperation of degenerative lumbar spine diseases

    ObjectiveTo review the research on the reasons of unplanned reoperation (URP) for degenerative lumbar spine diseases, and to provide new ideas for improving the quality of surgery for degenerative lumbar spine diseases. Methods The literature about the URP of degenerative lumbar spine diseases at home and abroad in recent years was reviewed and analyzed. Results At present, the reasons for URP include surgical site infection (SSI), hematoma formation, cerebrospinal fluid leakage (CSFL), poor results of surgery, and implant complications. SSI and hematoma formation are the most common causes of URP, which happen in a short time after surgery; CSFL also occurs shortly after surgery but is relatively rare. Poor surgical results and implant complications occurred for a long time after surgery. Factors such as primary disease and surgical procedures have an important impact on the incidence of URP. ConclusionThe main reasons for URP are different in various periods after lumbar spine surgery. Interventions should be given to patients with high-risk URP, which thus can reduce the incidence of URP and improve the surgery quality and patients’ satisfaction.

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