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延迟脑脊液泄漏 (CSFL) 发生在腰椎单侧双门内镜手术后21天:一个病例报告

Xinjian Feng¹, Jintao Shi, Xueping Huang

¹Department of Neurospinal Surgery, Luzhou People's Hospital, Luzhou City, China.

|January 10, 2026

概括

在微创脊柱手术后延迟脑脊液泄漏 (CSFL) 是罕见的. 持续的腰部排水成功地治疗了晚期的CSFL病例,突出了需要警的术后监测的需要.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
最少侵入性手术的方法

背景情况:

最少侵入性的内镜脊柱手术是优选的腰椎退化.
大脑脊髓液泄漏 (CSFL) 是开放脊柱手术的已知并发症.
微创手术后延迟发病的CSFL是非常罕见的.

研究的目的:

报告一种罕见的晚发性脑脊液泄漏 (CSFL) 病例,该病例发生在经过单边转膜内镜脊柱手术后.
讨论这种罕见并发症的管理和结果.

主要方法:

一个60岁的男性患者的病例报告.
在第21天诊断延迟的术后CSFL.
干预措施包括压力带,皮肤接,腰部水槽排水,未能打开的持续修复和持续14天的腰部排水.

主要成果:

持续的腰部排水在14天后成功解决了CSFL.
排水量在术后第7天和第10天达到峰值.
患者恢复了日常活动,但在右脚背部屈曲方面存在残余弱点.

结论:

延迟的CSFL的管理是复杂的.
连续的腰部排水可以是一个有效的,虽然漫长的,治疗.
警的术后监测对于检测延迟并发症至关重要.

关键词:

延迟的脑脊液泄漏脑脊液泄漏持续的撕裂持续的撕裂腰部排水系统腰部排水系统单侧双门内镜脊柱手术单侧双门内镜脊柱手术

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