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-  2015 

腰椎手术硬膜撕裂的危险因素分析

DOI: doi:10.7507/1002-1892.20150209

Keywords: 硬膜撕裂, 腰椎手术, 危险因素

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Abstract:

目的探讨腰椎手术中发生硬膜撕裂(icidental durotomy,ID)的危险因素。 方法于2010年1月-2012年12月行腰椎手术的2 235例患者中,选择发生ID且符合选择标准的86例患者,以及手术医生、手术时间与ID患者匹配的86例未发生ID患者纳入研究。比较两组患者性别、年龄、体质量指数、吸烟史、酗酒史、非甾体类药物使用史、病因、腰椎手术史、是否为翻修手术、手术入路、骨质疏松、糖尿病以及手术方式的差异,采用Logistic回归分析发生ID的危险因素。 结果发生与未发生ID患者在病因、手术入路、是否为翻修手术、腰椎手术史和手术方式方面,差异均有统计学意义(P<0.05),纳入多因素分析。Logistic回归分析示既往行腰椎手术、翻修手术及微创手术是腰椎手术中发生ID的危险因素(P<0.05)。 结论存在腰椎手术史、翻修手术及选择微创手术是腰椎手术过程中发生ID的危险因素,对于此类患者术中操作时应注意预防ID的发生

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