|
|
脊柱手术并发硬脊膜破裂的治疗浅析
|
Abstract:
脑脊膜(主要是硬脑膜和蛛网膜)受损，可能导致脑脊液(CSF)泄漏到周围空间，从而降低颅内压。引起一系列临床并发症，笔者对脊柱手术中硬脊膜破裂修补的常用方法及进展介绍如下。
Cerebrospinal membranes (mainly dura mater and arachnoid membrane) are damaged, which may cause cerebrospinal fluid (CSF) to leak to surrounding space, thus reducing intracranial pressure, causing a series of clinical complications. The common methods and progress of membrane rupture repair on spinal surgery are introduced as follows.
| [1] | Gandhi, J., DiMatteo, A., Joshi, G., Smith, N.L. and Khan, S.A. (2021) Cerebrospinal Fluid Leaks Secondary to Dural Tears: A Re-view of Etiology, Clinical Evaluation, and Management. International Journal of Neuroscience, 131, 689-695. https://doi.org/10.1080/00207454.2020.1751625 |
| [2] | Yoshihara, H. and Yoneoka, D. (2015) Incidental Dural Tear in Cervical Spine Surgery: Analysis of a Nationwide Database. Journal of Spinal Disorders and Techniques, 28, 19-24. https://doi.org/10.1097/BSD.0000000000000071 |
| [3] | Wolff, S., Kheirredine, W. and Riouallon, G. (2012) Surgical Dural Tears: Prevalence and Updated Management Protocol Based on 1359 Lumbar Vertebra Interventions. Orthopaedics & Traumatology: Surgery & Research, 98, 879-886.
https://doi.org/10.1016/j.otsr.2012.06.016 |
| [4] | Bosacco, S.J., Gardner, M.J. and Guille, J.T. (2001) Evaluation and Treatment of Dural Tears in Lumbar Spine Surgery: A Review. Clinical Orthopaedics and Related Research, 389, 238-247.
https://doi.org/10.1097/00003086-200108000-00033 |
| [5] | 黄学良, 朱双芳, 林雨聪, 周初松. 硬膜下肿瘤的手术治疗、硬膜修补及术后脑脊液漏处理[J]. 中国临床解剖学杂志, 2018, 36(4): 436-439. |
| [6] | 孙祥耀, 海涌. 脊柱手术硬脊膜破裂的诊断及治疗进展[J]. 中国脊柱脊髓杂志, 2015, 25(9): 860-864. |
| [7] | Narotam, P.K., José, S., Nathoo, N., Taylon, C. and Vora, Y. (2004) Collagen Matrix (DuraGen) in Dural Repair: Analysis of a New Modified Technique. Spine, 29, 2861-2867. https://doi.org/10.1097/01.brs.0000148049.69541.ad |
| [8] | 叶嘉靖, 洪正华, 褚斌祥, 陈遥, 王章富, 朱忠, 陈忠义, 陈海啸. 不同硬脊膜缝合修补方法预防脑脊液漏的动物实验研究[J]. 中国脊柱脊髓杂志, 2019, 29(6): 549-555. |
| [9] | 黄研生, 张海平, 牛兴邦, 史少岩, 郝定均. 腰椎翻修术并发脑脊液漏的原因分析及防治[J]. 中国骨伤, 2017, 30(9): 853-856. |
| [10] | Chauvet, D., Tran, V., Mutlu, G., et al. (2011) Study of Dural Suture Watertightness: An in Vitro Comparison of Different Sealants. Acta Neurochi-rurgica, 153, 2465-2472. https://doi.org/10.1007/s00701-011-1197-9 |
| [11] | Ye, J.J., Hong, Z.H., Chu, B.X., Wang, Z.F., Jiang, L.J., Zhu, Z. and Chen, Z.Y. (2021) Comparison of Dural Closure Methods for Dural Repair to Reduce the Incidence of Cerebrospinal Fluid Leakage. British Journal of Neurosurgery.
https://doi.org/10.1080/02688697.2021.1950626 |
| [12] | Thavarajah, D., De Lacy, P., Hussain, R. and Redfern, R.M. (2010) Post-operative Cervical Cord Compression Induced by Hydrogel (DuraSeal): A Possible Complication. Spine, 35, E25-E26.
https://doi.org/10.1097/BRS.0b013e3181b9fc45 |
| [13] | Black, P. (2002) Cerebrospinal Fluid Leaks Following Spinal Surgery: Use of Fat Grafts for Prevention and Repair. Journal of Neurosurgery, 96, 250-252. |
| [14] | Galarza, M. Gazzeri, R., Montoya, C.G., et al. (2019) A Proposed Intention-to-Treat Anatomical Classification of Spinal Dural Tears. Surgical Technology International, 35, 441-446. |
| [15] | Lee, S., Cho, D.C., Kim, K.T., Lee, Y.S., Rhim, S.C. and Park, J.H. (2021) Reliability of Early Ambulation after Intra-dural Spine Surgery: Risk Factors and a Preventive Method for Cerebrospinal Fluid Leak Related Complications. Journal of Korean Neurosurgical Society, 64, 799-807. https://doi.org/10.3340/jkns.2020.0350 |
| [16] | Menon, S.K. and Onyia, C.U. (2015) A Short Review on a Complication of Lumbar Spine Surgery: CSF Leak. Clinical Neurology and Neurosurgery, 139, 248-251. https://doi.org/10.1016/j.clineuro.2015.10.013 |
