摘要
目的对腰椎退行性疾病非计划再次手术(unplanned reoperation,URP)原因的研究进行综述,为提高腰椎退行性疾病手术质量提供新思路。方法查阅近年国内外腰椎退行性疾病URP相关文献,并进行分析和总结。结果目前,URP原因主要包括手术切口感染(surgical site infection,SSI)、血肿形成、脑脊液漏(cerebrospinal fluid leak,CSFL)、手术效果不佳、植入物并发症。SSI和血肿形成是URP最常见原因且发生于术后早期;CSFL一般也发生于术后早期,但较为少见;手术效果不佳和植入物并发症则发生于术后较长时间。此外,原发病和手术方式等因素对URP发生率有重要影响。结论腰椎术后不同时期发生URP的主要原因不同,可对URP高危患者给予干预措施,进而降低URP发生率,提高手术质量和患者满意度。
Objective To 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.Conclusion The 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.
作者
杜瑞环
李忠海
DU Ruihuan;LI Zhonghai(Department of Orthopedics,the First Affiliated Hospital of Dalian Medical University,Dalian Liaoning,116600,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2021年第12期1637-1641,共5页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
非计划再次手术
腰椎退行性疾病
手术切口感染
硬膜外血肿
脑脊液漏
Unplanned reoperation
degenerative lumbar spine disease
surgical site infection
spinal epidural hemorrhage
cerebrospinal fluid leakage
作者简介
通信作者:李忠海,Email:lizhonghaispine@126.com。
