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Treatment of cerebrospinal fluid leak after spine surgery

机译:脊柱手术后脑脊液漏的治疗

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摘要

Owing to the complexity of spinal surgery,there is a great prevalence of dural tear causing cerebrospinal fluid (CSF) leakage.Many studies focused on suture repair for dural tear to stop CSF leak.Now some new treatment strategies have shown a promising effect that is listed as follows:1) creating watertight dural closure to stop CSF leak with the help of dural substitute material;and 2) retarding CSF leak by changing pressure difference,including reducing the subarachnoid fluid pressure,increasing the epidural space pressure and both.In fact several methods mentioned above are usually combined to treat CSF leak.However,no update review summarized the relevant studies implemented in recent years.In this review,the authors would compare the effects of different dural closure techniques,and introduce the latest treatment methods and mechanisms.
机译:由于脊柱外科手术的复杂性,硬脑膜撕裂的发生率很高,导致脑脊液(CSF)渗漏。许多针对硬脑膜缝合的缝线修复研究可阻止CSF渗漏。现在,一些新的治疗策略显示出了有希望的效果,即列举如下:1)借助硬脑膜替代材料创建不透水的硬脑膜封闭物,以阻止CSF泄漏;和2)通过改变压力差来抑制CSF泄漏,包括降低蛛网膜下腔液压力,增加硬膜外腔压力和两者。上面提到的几种方法通常可以结合使用来治疗CSF渗漏。但是,没有最新的综述总结近年来的相关研究。在这篇综述中,作者将比较不同的硬脑膜封闭技术的效果,并介绍最新的治疗方法和机制。 。

著录项

  • 来源
    《中华创伤杂志(英文版)》 |2017年第2期|81-83|共3页
  • 作者单位

    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China;

    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China;

    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China;

    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China;

    Department of Spine Surgery, Tianjin Union Medical Centre, Tianjin 300121, China;

  • 收录信息 中国科学引文数据库(CSCD);中国科技论文与引文数据库(CSTPCD);
  • 原文格式 PDF
  • 正文语种 eng
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