摘要
目的 探讨脊柱侧凸手术失败原因及翻修手术的处理方法。方法 回顾性分析我院自 1997年以来收治的脊柱侧凸矫形术后需要进行翻修手术患者 33例。男 10例 ,女 2 3例。翻修时距初次手术时间平均为 13.4个月 (0 .5～ 6 6个月 )。 33例患者共行 4 3次翻修手术 ,其中 2 9例进行 1次翻修手术 ,2例进行 3次翻修手术 ,2例进行 4次翻修手术。另有 4例患者增加脊柱矫形和融合 ,同时行脊柱前路松解、支撑植骨手术。结果 翻修手术时间平均 3.9h(1.5～ 7.3h) ,手术中平均出血 6 0 1ml(5 0～ 2 0 0 0ml) ,平均输血量 6 4 3.3ml(0～ 2 0 0 0ml)。术后随访平均 2 7个月 (3～6 7个月 ) ,未出现畸形加重、内固定失败等并发症。结论 脊柱侧凸翻修手术是脊柱畸形矫形术后的一种补救手术。
Objective To discuss the reasons of failures in the operations of scoliosis and the ways in revision operations. Methods In our hospital, 33 cases of scoliosis needing revision operations were retrospectively analysed since 1997, including 10 males and 23 females. From the first operation to revision operation, it was averagely 13.4 months (0.5～66 months). There were 43 revision operations in 33 cases, in which 29 cases got one revision operation, 2 cases got three ones and 2 cases got four ones. 4 cases got anterior release and bone graft fusion in order to increase correction and fusion rate. Results The revision operation lasted averagely 3.9 hours (1.5～7.3 hours), the bleeding reached averagely 601 ml (50～2000 ml) and blood transfusion was averagely 643.3 ml (0～2000 ml). After a follow up for mean 27 months (3～67 months), there was no deformity aggravation and inner fixation failure. Conclusion The revision operation is a kind of salvage way to treat orthomorphia failures in scoliosis. Good operation stratagems and well skills are the key points to prevent failures and revision operations.
出处
《脊柱外科杂志》
2004年第5期259-262,共4页
Journal of Spinal Surgery
