脊柱结核术后常见并发症的临床分析.pdfVIP

第 35 卷第 4 期 Vol.35 No.4 井冈山大学学报(自然科学版) 2014 年 7 月 Jul. 2014 Journal of Jinggangshan University (Natural Science) 88 88 井冈山大学学报(自然科学版) 文章编号：1674-8085(2014)04-0088-05 脊柱结核术后常见并发症的临床分析 *施 力，温 蕾，王芳芳 （赣州市第五人民医院骨科，江西，赣州 341000） 摘 要：目的 探讨脊柱结核手术后常见并发症的发生原因、预防及处理对策。 方法 收集 2010 年 1 月~2013 年 6 月在我科室诊治的 113 名脊柱结核患者的临床资料，回顾性分析手术方式、手术部位与并发症的关系。 结 果 脊柱结核手术后常见的并发症的发生率从高到低依次为：（1）髂骨或肋骨取骨处疼痛、麻木；(2)脊柱活动受 限；(3)胸腔积液、胸膜粘连、血气胸；(4)切口不愈合，脓肿及窦道形成；(5)内固定松动、折断；(6)脑脊液漏； (7)腹壁疝。结论 术前充分抗结核治疗，掌握手术解剖入路，避免损伤周围血管、神经，彻底清除病灶以避免残 留及复发，术后规范抗结核治疗，避免过早下地活动，及时复查是预防并发症的有效方法。 关键词：脊柱；结核；并发症；防治 中图分类号：R529.2 文献标识码：A DOI:10.3969/j.issn.1674-8085.2014.04.019 CLINICAL ANALYSIS OF THE COMMON COMPLICATIONS OF POSTOPERATIVE SPINAL TUBERCULOSIS *SHI Li，WEN Lei，WANG Fang-fang (Department of Orthopedics, The Fifth Peoples Hospital of Ganzhou, Ganzhou, Jiangxi 341000, China) Abstract Objective: To explore the causes, prevention and treatment measures of common spinal tuberculosis complications after surgery. Methods: Clinical data of 113 patients with spinal tuberculosis treated in our department during January 2010 to June 2013 were collected and retrospectively analyzed the relationship between surgical procedures, spots and complications. Results: The occurrence rates of common complications after spinal tuberculosis operation were in sequence from high to low: (1) pain, numbness at bone-taken site of the ilium or costa; (2) spine activity limitation; (3) pleural effusion, pleural adhesions, pneumothorax; (4) incision disunion, abscess and sinus formation; (5) internal fixation loosening, fracture; (6) leakage