46例经椎间孔腰椎间融合术后再手术报告及文献综述

Reoperation secondary to transforaminal lumbar interbody fusion: a 46-case report and literature review

摘要:

本院近 10 年行 TLIF 术的 3 717 例患者中发生再手术的有 46 例，总发生率约为 1.24%。再手术原因依次为：手术部位感染(surgical site infection, SSI)、椎管内硬膜外血肿(spinal epidural hematoma, SEH)、症状缓解不良、邻近节段退变(adja- cent segment disease, ASD)、下肢深静脉血栓 (deep venous thrombosis, DVT)、内固定异常、尿潴留、引流管断裂残留的脑脊液漏。对上述原因进行文献综述，为临床医生避免或减少 TLIF 术后再手术提供参考。

Abstract:

Among the 3 717 patients who underwent transforaminal lumbar interbody fusion (TLIF) in our hospital in the past 10 years, 46 had a reoperation, accounted for 1.24%. The reasons for reoperation ranked up-down as follows: surgical site infection (SSI) , spi- nal epidural hematoma (SHE) , poor symptom relief, and adjacent segment disease (ASD) , deep venous thrombosis (DVT) , abnormal inter- nal fixation, urinary retention, leakage of cerebrospinal fluid and rupture of drainage tube. A literature review on the abovesaid reasons was conducted to provide a reference for clinicians to avoid or reduce reoperation after TLIF.