Font Size: a A A

A Comparative Study Of The Effect Of Continuous Tight Dural Suture With 5-0 And 4-0 Absorbable Sutures On Preventing Cerebrospinal Fluid Leakage After Posterior Spinal Surgery

Posted on:2022-06-21Degree:MasterType:Thesis
Country:ChinaCandidate:S Z YanFull Text:PDF
GTID:2504306563456234Subject:Neurosurgery
Abstract/Summary:
Purpose: This article is designed to study the use of 5-0 absorbable suture to strictly suture the hard film and 4-0 absorbable suture,strict suture of the epsahydrate for the prevention of the rhythmic liquid leakage effect of spinal surgery,in order to prevent the original choice for spinal ridge after spinal surgery Plan to provide a factual reference.Postoperative cerebrospinal leakage is one of the common complications after spinal surgery,and its incidence has been increasing in recent years.Therefore,the careful repair of the hard ridge film is the key to preventing CSFL.Some studies believe that the spinal ridge leakage is mainly caused by the sewing hard film,so it is especially important.However,the study of the selection and selection method for the sewing of the hard ridge film at home and abroad,no matter whether it is an animal model or clinical study.Therefore,this paper wants to strictly suture the hard film and4-0 absorbable suture in the 5-0 absorbable suture.The hard film is compared to the difference between the hydraulic fluvogenic hydraulic effects of spinal surgery.Methods: Retrospective analysis of 50 cases of the first neurosurgery of Shengjing Hospital,China Medical University,2016 to 2021,using 5-0absorbable suture,strict suture,hard film and 50 cases of 4-0 absorbable suture,tightly sutured spine Surgical patient clinical data.According to the above two sutures,the intra-sewron and strict suture of the endoperation is continuously sutured as a group A,which will use 4-0 suture to strictly suture the hydrazine as B group,and the two groups of patients were first neurological surgical.Different chief physicians with near-year annual and professional titles have the same proficiency in vertebralia,surgical experience and operation.Compare the patient’s gender,age,disease,and exclude correlation to determine the comparability of two groups.Through the number of cerebrospinal liquid leaks,the cerebrospinal fluid drainage,cerebrospinal fluid,and postoperative intracranial infection,patient hospitalization time,etc.,compared to two suture methods.Results:The number of cerebrospinal liquid leakage,cerebrospinal fluid,cerebrospinal fluid,and postoperative intracranial infection,patient hospitalization time,etc.,and the patient’s hospital stay is superior to B group,and the difference is statistically significant(P <0.05).Conclusion: The 5-0 suture continuous sewing is used to prevent the rhythmic fluid leakage after the spine after the spine.Since the careful repair of the hard ridge film is the key to preventing the CSFL,it can be considered in operation to use 5-0 suture instead of 4-0 suture to reduce the strict sewing to reduce the spine.The incidence of cerebrospinal leakage.
Keywords/Search Tags:posterior median approach surgery, cerebrospinal fluid leakage, Dura mater, 5-0 suture, 4-0 suture
Related items