5例胸腰段脊柱前路手术并发症分析.pdfVIP

第 24 卷第 12 期 第 　三 　军 　医 　大 　学 　学 　报 Vol. 24 , No. 12 　　　　 　　　　 2002 年 12 月 ACTA 　ACADEMIAE 　MEDICINAE 　MILITARIS 　TERTIAE Dec. 2002 1481 ( ) 文章编号 2002 论著 5 例胸腰段脊柱前路手术并发症分析 ( ) 王 　敏 ,周 　跃 ,任先军 ,王卫东 ,张 　峡 ,张正丰 　　第三军医大学附属新桥医院骨科 ,重庆 400037 　　提 　要 : 目的 　分析胸腰段脊柱前路手术入路并发症 , 以提高胸腰段脊柱前路手术的水平。方法 　对近 4 年来我科 53 例胸腰 段脊柱前路手术出现的 5 例并发症进行回顾性分析 ,探讨并发症发生的原因。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。 　　关键词 : 胸腰段 ;前路手术 ;并发症 　　中图法分类号 : R619 ;R683. 2 ;R687. 3 　　　 文献标识码 : A Analysis of complications of anterior approaches to the thoracolumbar spine in 5 cases WANG Min , ZHOU Yue , REN Xianjun , WANG Weidong , ZHANG Xia , ZHANG Zhengfeng (Department of Orthopaedics , Xinqiao Hospital , Third Military Medical University , Chongqing 400037 , China) 　　Abstract : Objective 　To improve the technique of anterior approach in the treatment of thoracolumbar fractures. Methods 　A retrospective analysis of 5 cases with complications out of 53 cases treated by anterior approaches to the thoracolumbar spine during a 4year period at the authors’ department was conducted and the average duration of followup was 11 months. Results 　There were 4 kinds of complications , 1 case with retroper itoneal chylous leakage , 1 incisional hernias , 1 pneumothorax and 2 iliac vein thrombosis. Conclusion 　Most of the complications were caused by poor knowledge in anatomy , operating procedure and experience. They can be avoided if found at early stage. 　　Key words : thoracolumbar ; anterior approach ; complications 　　胸腰段脊柱