The curative effect of medical clue jointed muscle flap for the treatment of spinal dural injury with cerebro-spinal fluid leakage during the spinal operation process
10.3760/cma.j.issn.1008-6706.2015.22.019
- VernacularTitle:采用医用胶联合肌瓣治疗脊柱手术中硬膜损伤伴脑脊液漏的疗效观察
- Author:
Yongjian JIA
;
Jiefu SONG
;
Zhizhen JING
- Publication Type:Journal Article
- Keywords:
Spinal operation;
Dural injury;
Cerebrospinal fluid leakage;
Intraoperative treatment
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(22):3417-3418,3419
- CountryChina
- Language:Chinese
-
Abstract:
Objective To report a method of handling dural injury with cerebrospinal fluid leakage during the spinal operation process and analyze its effect,to comparatively analyze with the existing methods and to find a better way processing this problem.Methods A total of 36 patients with dural injury and cerebrospinal fluid leakage during the spinal operation process were collected.Among these clinical cases,there were 15 males,21 females,age ranged from 26 to 78 years old,average 58 years old.During the spinal operation process,the injured dura was sutured or repaired.After that,the dural wound was glued with a piece of muscle or fascia by a kind of medical glue named KangPaiTe.After the operation,broad -spectrum antibiotics and timely fresh dressing changing for the wound were applied.The nature and volume of the drainage fluid was documented and analyzed.When the volume of the drainage fluid was below 50mL per day,the drainage tube was pulled away,and the incision of the drainage tube was sutured again.Results The cerebrospinal fluid leakage lasted from 0 day to 4 days,average 1.5 days;the drainage tube was placed from 1 day to 5 days,average 2 days;no wound infection and other complications occurred among all the clini-cal cases included in this study.Conclusion After the injured dura was sutured or repaired,gluing the dural wound with a slice of muscle or fascia by a kind of medical glue named Kangpaite is a better method of handling dural injury with cerebrospinal fluid leakage.
