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dural injury
相关语句
  硬膜损伤
     Results Conversions to open surgery were required in 4 out of 104 cases due to bleeding or adherence. Among the rest of 100 cases,dural injury occurred in 3 cases,with 1 case accompanying leakage of cerebrospinal fluid.
     结果104例中因出血及粘连改开放手术4例,余100例术中发生硬膜损伤3例,其中1例发生脑脊液漏。
短句来源
  “dural injury”译为未确定词的双语例句
     2 cases failed and converted to open operation, 1 case suffered from intervertebral infection, 1 case dural injury.
     有1例马尾神经损伤,1例脑脊液漏,1例椎间隙感染,2例手术中转,无1例复发。
短句来源
     Result:Dural injury occurred in 30 cases of 103(29.13%),22 cases appeared postoperative CSF leakage (21.36%).
     结果:30例发生硬脊膜损伤,发生率为29.13%;
短句来源
     Method:Dural injury and CSF leakage in thoracic OLF cases treated surgically were studied retrospectively.
     方法:对103例手术治疗的胸椎OLF患者中并发硬脊膜损伤或脑脊液漏病例的临床资料进行回顾性分析。
短句来源
     Results Dural injury was found intraoperatively in 13 cases, and postoperative cerebrospinal fluid leakage occurred in 9 of them.
     结果 术中发现硬脊膜损伤13例, 9例术后出现脑脊液漏;
短句来源
     Conclusion:Dural injury or CSF leakage is a common complication of thoracic OLF operation;
     结论:硬脊膜损伤或脑脊液漏是胸椎OLF手术易发生的并发症;
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  相似匹配句对
     Injury;
     外伤;
短句来源
     (4)The injury of nerve root,or dural;
     (4)损伤硬膜 ;
短句来源
     In the injury theory of R.
     AS的发病机制尚不明确,R.
短句来源
     Surgical treatment of traumatic dural sinus injury(analysis of 31 cases)
     外伤性颅内静脉窦损伤的临床诊治(附31例报告)
短句来源
     Pathogenesis Mechanism of Dural
     硬膜动静脉瘘发病机理的研究
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  dural injury
Reported cases have been the result of dural injury associated with laminectomy or lumbar myelography.
      
Passage of the sublaminar wire under the lamina of C2 is avoided in order to decrease the risk of neural or dural injury.
      
Meticulous dissection of the lamina is required to minimize the risk of dural injury.
      


Objective To study the early complications encountered in the upper cervical opera tions and to review the related literature s.Methods Four complications happened in 110c ases of upper cervical operations,and the preventative as well as the treatment measures were p resented.Results Arterial injury happened in a patient underwent the t rans-oral approach operation for ch ronic atlanto-axial dislocation.T he bleeding spot could not be located during the operation.After compression with the Gelfoam,the...

Objective To study the early complications encountered in the upper cervical opera tions and to review the related literature s.Methods Four complications happened in 110c ases of upper cervical operations,and the preventative as well as the treatment measures were p resented.Results Arterial injury happened in a patient underwent the t rans-oral approach operation for ch ronic atlanto-axial dislocation.T he bleeding spot could not be located during the operation.After compression with the Gelfoam,the bleeding was stopped.On the 16th day after operation,heavy bleeding happened again f rom the incision.Under temporary hemostasis,the DSA revealed that th e injured artery was the left ascendi ng pharyngeal artery.The bleeding was stopped by endovascular occlusion.This patient was followed-up more than 3years and could walk with the help of crutch.Incomplete spinal cord injury happened in another patien t who underwent the anterior screw fixation and posterior atlanto-axial Brooks fixation.The neurologic al function recovered following pro per postoperative management,includi ng the usage of hormone and the hyperb aric oxygenation.Dural injury happened in a patient underwent ante rior screw fixation for dens fractur e.The CSF leaked through the hole of screw.The hole was plugged up with th e bone wax.Vertebral artery injury h appened in a patient underwent posterior occipito-cervical fixation for chronic atlanto-axial dislo cation.When the screw was removed,i t was found that the position of C 2 pedicle screw was not perfect,and th e blood pour out through the hole with pulsation;then the screw was inserted immediately and after one hour observation,the vital signs were stabl e;post-operative CT scan showed that t he screw went into the vertebral arte ry canal.No postoperative infectio n happened among all of the 110patient s.Conclusion Vertebral artery injury was one of th e most common early complications in the upper cervical operations.When it happened d uring the operation,the following principles should be followed:stop ing the bleeding by compression or fill the bone hole with Horsleys wax immediately;changing the operatio n plan if the screw on the other side had not been inserted;screwing back the screw if the bleeding come from th e screw hole;if the bleeding could not be stopped by the aforementioned methods,the intravascular embolis ation through DSA should be applied u nder temporary hemostasis.The use of Halo could prevent spinal cord inj ury during the operation,especially for those who need change of positio n during the operation under the general anaesthesia.The CSF leakage coul d be prevented by careful operation.If happened,the leakage could be sto pped after one week rest with proper posture and by avoiding the actions to raise abdominal pressure.The key s to reduce the early complications a re to master the anatomy as well as the patients condition.To prevent the infection among the patients with trans-oral approach operation,it i s necessary to reasonable preoperati ve preparation and postoperative care.

目的介绍上颈椎手术中所遇到的术中及术后早期并发症,并对相关文献进行复习。方法对近年来所进行的110例上颈椎手术中所出现的4例早期并发症予以报告,并结合相关文献提出相应的预防及处理方法。结果1例陈旧性寰枢椎脱位经口腔手术,术中大出血,经DSA检查发现为咽升动脉损伤,予以血管栓塞止血。现已术后34个月,可扶拐行走,但由于多次出血,出现脑缺血后遗症,夜间仍需要呼吸机辅助呼吸;1例陈旧性寰枢椎脱位,行后路枕颈融合术,术中行C2椎弓根螺钉固定时一侧螺钉进入椎动脉孔,损伤椎动脉,即时以螺钉拧入,未见再出血,现术后半年,情况稳定;1例齿状突骨折,行颈前路直接中空螺钉固定时,自螺钉孔中出现脑脊液漏,术中骨蜡封堵螺钉孔,术后未见脑脊液漏;1例陈旧性寰枢椎脱位,行一期前后路减压内固定植骨融合术,术后出现脊髓不完全损伤,经对症处理,脊髓功能逐渐恢复,术后1年复查肌力恢复至Ⅳ级以上,感觉正常。110例患者中,无一例出现术后伤口感染。结论减少术中神经、脊髓损伤等并发症的关键在于对解剖的熟练掌握,同时应对患者的病情有充分地了解。对于经口腔入路感染的预防,充分的术前准备及妥善的术后处理尤为重要。

Objective:To analyze the causes of dural injury or CSF leakage in the surgical treatment of OLF in the thoracic spine,and summarize the experience in the treatment and prevention.Method:Dural injury and CSF leakage in thoracic OLF cases treated surgically were studied retrospectively.Result:Dural injury occurred in 30 cases of 103(29.13%),22 cases appeared postoperative CSF leakage (21.36%).Among these 22 cases,21 were cured conservatively mainly with bed rest in the prostrate position,only...

Objective:To analyze the causes of dural injury or CSF leakage in the surgical treatment of OLF in the thoracic spine,and summarize the experience in the treatment and prevention.Method:Dural injury and CSF leakage in thoracic OLF cases treated surgically were studied retrospectively.Result:Dural injury occurred in 30 cases of 103(29.13%),22 cases appeared postoperative CSF leakage (21.36%).Among these 22 cases,21 were cured conservatively mainly with bed rest in the prostrate position,only one case′s incision splitted completely and were cured surgically.Conclusion:Dural injury or CSF leakage is a common complication of thoracic OLF operation;prostrate position is absolutely important in the postoperative management of CSF leakage.But this method still needs to be improved because of the pains it brings to the patients.

目的:分析胸椎黄韧带骨化症(ossificationofligamentumflavum,OLF)手术并发硬脊膜损伤或脑脊液漏的原因,并探讨其防治方法。方法:对103例手术治疗的胸椎OLF患者中并发硬脊膜损伤或脑脊液漏病例的临床资料进行回顾性分析。结果:30例发生硬脊膜损伤,发生率为29.13%;22例术后发生脑脊液漏,发生率为21.36%,其中21例患者经以俯卧位为主的综合治疗后痊愈,1例发生伤口全层裂开,二次手术后痊愈。结论:硬脊膜损伤或脑脊液漏是胸椎OLF手术易发生的并发症;俯卧位为主的综合治疗是治疗术后脑脊液漏的有效方案,但患者较痛苦,有待改进。

Objective To analyse the clinical effects of lumbar disc herniati on, lumbar spinal stenosis and discogenic low back pain treated by the operative procedures of intervertebral disc endoscope. Methods 1346 patients, who were di agnosed as lumbar disc herniation in 159 (including 23 of discogenic low back pa in), lumbar spinal stenosis in 109, and lumbar disc herniation associated with l umbar spinal stenosis in 1078, were treated with translaminar fenestration, tran slaminar notching and undermining enlargement...

Objective To analyse the clinical effects of lumbar disc herniati on, lumbar spinal stenosis and discogenic low back pain treated by the operative procedures of intervertebral disc endoscope. Methods 1346 patients, who were di agnosed as lumbar disc herniation in 159 (including 23 of discogenic low back pa in), lumbar spinal stenosis in 109, and lumbar disc herniation associated with l umbar spinal stenosis in 1078, were treated with translaminar fenestration, tran slaminar notching and undermining enlargement of the neural canal in single or m ultiple segments by intervertebral disc endoscope (Sofamor Danek system and Stor z sysytem) through posterior unilateral or bilateral approach. 1794 intervertebr al discs from L2,3 to L5S1 were excised totally. Results 1211 cases were follo wed up from 3 months to 4 years with an average of 2.5 years. The clinical resul ts were rated as excellent in 1017 cases (84%), good in 170 cases (14%) and poor in 24 cases (2%), and the rate of excellent and good outcomes was 98%, furtherm ore, the excellent or good outcomes were obtained in all 23 cases of discogenic low back pain and 18 cases of adolescent lumbar disc herniation. The blood loss varied form 50 to 600 ml with an average of 250 ml. The operative time ranged fr om 25 minutes to 3.5 hours. 4 cases failed and were converted to open operation. 4 cases, which had undergone lumbar vertebral operation previously, were treate d with intervertebral disc endoscope successfully. In complications, 7 cases suf fered from intervertebral infection, 16 cases dural injury, 1 case wrong locatio n and 2 cases recurrence in the opposite side. No one died, and no nerve injury occured during operation. Patients could get off bed in the first postoperative day, and they could take care of themselves in about one week. Conclusion The p rocedure has more indications and some advantages of minimal invasion, less blee ding, high security, quick recovery on the premise of providing completely decom pression to spinal cord and nerve root.

目的分析腰椎后路椎间盘镜手术治疗腰椎间盘突出症和腰椎管狭窄症及椎间盘源性腰痛的特点及临床效果。方法1999年9月~2003年6月,临床诊断为腰椎间盘突出症和(或)腰椎管狭窄症及椎间盘源性腰痛患者1346例,男653例,女693例;平均年龄46.3岁。单纯腰椎间盘突出症159例,单纯腰椎管狭窄症109例,腰椎管狭窄症合并腰椎间盘突出1078例。分别采用腰椎后路椎间盘镜手术进行单节段或多节段、单侧或双侧“开窗”减压、“长槽式”减压及潜行性神经根减压治疗,共切除1794个椎间盘。结果1211例获得随访,随访时间3个月~4年(平均2.5年)。疗效为优1017例(84%)、良170例(14%)、差24例(2%),优良率为98%(其中23例椎间盘源性腰痛和18例青少年腰椎间盘突出症的疗效全部为优或良)。术中出血量为50~600ml,平均250ml。手术时间25min~3.5h。有4例转开放手术,4例行二次后路椎间盘镜手术,发生椎间隙感染7例,脑脊液漏16例,定位错误1例,对侧复发2例。无一例患者术中死亡或发生神经器质性损伤。术后第1天即可下床,1周后基本达到生活自理。结论该术式减压充分,适应证宽、创伤小、出血少、术后恢复...

目的分析腰椎后路椎间盘镜手术治疗腰椎间盘突出症和腰椎管狭窄症及椎间盘源性腰痛的特点及临床效果。方法1999年9月~2003年6月,临床诊断为腰椎间盘突出症和(或)腰椎管狭窄症及椎间盘源性腰痛患者1346例,男653例,女693例;平均年龄46.3岁。单纯腰椎间盘突出症159例,单纯腰椎管狭窄症109例,腰椎管狭窄症合并腰椎间盘突出1078例。分别采用腰椎后路椎间盘镜手术进行单节段或多节段、单侧或双侧“开窗”减压、“长槽式”减压及潜行性神经根减压治疗,共切除1794个椎间盘。结果1211例获得随访,随访时间3个月~4年(平均2.5年)。疗效为优1017例(84%)、良170例(14%)、差24例(2%),优良率为98%(其中23例椎间盘源性腰痛和18例青少年腰椎间盘突出症的疗效全部为优或良)。术中出血量为50~600ml,平均250ml。手术时间25min~3.5h。有4例转开放手术,4例行二次后路椎间盘镜手术,发生椎间隙感染7例,脑脊液漏16例,定位错误1例,对侧复发2例。无一例患者术中死亡或发生神经器质性损伤。术后第1天即可下床,1周后基本达到生活自理。结论该术式减压充分,适应证宽、创伤小、出血少、术后恢复快。

 
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