Effect comparison between cerebrospinal fluid leakage using various deep fascia continuous suture techniques and interrupted suture in lumbar posterior surgery
10.7619/jcmp.201724009
- VernacularTitle:深筋膜层连续严密缝合与间断缝合防治腰椎后路手术后脑脊液漏的对比研究
- Author:
Jun WANG
1
;
Shouchao ZHENG
;
Xiaohui LIU
;
Sunxing GAO
;
Weirong TIAN
;
Qinglin HAN
Author Information
1. 河北省沧州中西医结合医院骨二科
- Keywords:
deep fascia;
continuous suture;
interrupted suture;
lumbar posterior surgery;
cerebrospinal fluid leakage
- From:
Journal of Clinical Medicine in Practice
2017;21(24):30-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare clinical effects on treatment of cerebrospinal fluid leakage using various deep fascia suture techniques in lumbar posterior surgery.Methods There were 39 cases with cerebrospinal fluid leakage after lumbar posterior surgery in our hospital,in whom 22 cases were treated with deep fascia continuous suture,and 17 cases were treated with deep fascia interrupted suture.The extubation time,ambulation time,healing time and VAS scores in different times were recorded.Results The average extubation time,ambulation time,healing time of continuous suture group were better than that in interrupted suture group.The VAS scores on 1,3,7,14 d after operation in the continuous suture group was 3.55,2.64,1.18,0.36,and were 3.35,4.18,2.18,0.59 in the interrupted suture group.There were statistically significant differences in VAS scores on 3,7 d after operation between continuous suture group and interrupted suture group,while no significant differences were found in VAS scores on 1,14 d after operation.Conclusion Deep fascia continuous suture method has better effect on the treatment of cerebrospinal fluid leakage after lumbar posterior surgery.