老年重度腰椎管狭窄症围术期特点及其术后早期并发症

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Abstract Objective To investigate the peroperative characteristics and early complications in senile people with severe lumbar spinal canal stenosis. Method From february 2008 to December 2013, a retrospective review of 184 patients with severe lumbar canal stenosis treated surgically with decompressional procedure was performed. Of these, 80 males, 104 females aging from 60～86 years (average of 68.77±5.76 years). All patrents underwent surgical decompression. Before operation, all cases consulted with internal medical stuff for the proper treatment of concomitant diseases. The preoperative concomitant diseases, intraoperative bleeding volume, operative and hospitalization time were summarized. The appearance and management of complications at early post-operation stage were observed especially. Result The average hospital stay was 27.26±9.61 days. No death cases ocurred during peri-operation. The average operative time was 3.09±1.09 h. The average intraoperative blood loss was 618.60±366.50 ml. 106 cases (57.61%) were noted to have over 3 fusion segments. 119 cases (64.67％) were noted to have complications which improved by symptomatic treatment. The complications ranked in the following percentage: poor wound healing, pain, poor body condition, hypovolemia, cerebrospinal fluid leakage, neuroinjury and deep venous thrombosis. All complications were treated effectively. Conclusions There are definite risks in the operation of senile people with severe lumbar spinal canal stenosis. But in condition of controlling concomitant internal disease, treatment with surgical decompression can still play an important role in neurological recovery and improve safety in peroperative period.

Key words： senile people lumbar spinal canal stenosis operation complication

Received: 20 March 2015

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	ZHANG Xinyu
	KUANG Zhengda
	YE Qibin

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ZHANG Xinyu,KUANG Zhengda,YE Qibin. Clinical analysis of early complioations in senile people with severe lumbar spinal canal stenosis at early post-operation stage[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(9): 888-891.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2015/V26/I9/888

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