TREATMENT OF DURAL TEARS ASSOCIATED WITH SPINAL SURGERY
TREATMENT OF DURAL TEARS ASSOCIATED WITH SPINAL SURGERY
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DOI：
10.2106/00004623-198163070-00010
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发表时间：
1981-01-01
影响因子：
5.3
通讯作者：
ROTHMAN, RH
中科院分区：
文献类型：
--
作者：
EISMONT, FJ;WIESEL, SW;ROTHMAN, RH
对5例连续发生硬脊膜撕裂伴术后脑脊液漏的患者进行了回顾性分析。问题包括4名患者持续存在脑脊液瘘，1名患者出现迟发症状性假性脑膜膨出，均需要再次手术和仔细闭合硬脑膜。硬脑膜撕裂应在原始手术时直接修复或利用筋膜移植或组织塞技术修复。当在术后首次发现渗漏时，建议再次手术修复硬脑膜。
The cases of 5 consecutive patients with tears of the spinal dura with postoperative leaks of CSF were reviewed. Problems included the persistence of CSF fistulas in 4 patients and a late symptomatic pseudomeningocele in 1, all requiring reoperation and meticulous closure of the dura. Dural tears should be repaired at the time of the original operation either directly or utilizing a fascial graft or a tissue-plug technique. When the leak is first noted in the postoperative period, reoperation for repair of the dura is recommended.