老年腰椎骨折微创手术有哪些风险 李高玉 徐州矿务集团总医院

老年腰椎骨折微创手术有哪些风险 李高玉 徐州矿务集团总医院
对体弱多病的高龄患者来说手术治疗仍面临较大的风险。首先是麻醉的风险。手术常选择腰椎硬膜外麻醉或全身麻醉，由于许多老年人骨质增生退变的原因致使行前者麻醉较为困难，所以临床上行全身麻醉比较多。但全麻后肺部并发症较多，尤其对于有慢性肺炎、肺功能较差的患者来说，风险更大。其次是手术本身的风险，除了空心钉技术外，其余手术方法均需切开组织，并行深层剥离，术中出血较多，对多数高龄患者来说需术后输血。加之手术本身的创伤打击也会引起患者强烈的全身性应急反应，继而引起全身多系统生理病理的变化。

What are the risks of minimally invasive surgery for elderly lumbar fractures
For the elderly patients with many diseases, surgical treatment still faces a greater risk. The first is the risk of anesthesia. The operation often chooses the lumbar epidural anesthesia or general anesthesia, Because of the reasons of many old people's hyperosteogeny and degeneration, anesthesia for the former is more difficult, So there are more general anesthesia in clinic. However, there are many pulmonary complications after general anesthesia, Especially for patients with chronic pneumonia and poor lung function, The risk is greater. The second is the risk of the operation itself, In addition to hollow nail technology, Other surgical methods need to cut the tissue, Parallel deep divestiture, There was more bleeding during the operation, Blood transfusion is necessary for most elderly patients. In addition, the trauma of the operation itself will also cause a strong systemic emergency response, Then, the changes of physiology and pathology of multiple systems were induced.