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目的:探讨骶骨肿瘤切除后引起脑脊液漏的治疗方法。方法:构建一侧臀大肌肌瓣推移填塞治疗骶骨脊索瘤切除后所并发的脑脊液漏。结果:共治疗5例患者,都获得成功。随访3年,均无任何神经症状及严重的下肢功能障碍,骶尾部基本恢复正常的生理弧度。结论:臀大肌肌瓣推移填塞对骶骨脊索瘤切除所遗留的腹膜后残腔与术后并发的脑脊液漏均是较好的治疗方法。
Objective: To investigate the treatment of cerebrospinal fluid leakage after sacral tumor resection. Methods: One side of the gluteus maximus muscle flap was constructed for the treatment of cerebrospinal fluid leakage after resection of sacral chordoma. Results: A total of 5 patients were successfully treated. All the patients were followed up for 3 years without any neurological symptoms and severe dysfunction of the lower extremities. The sacrococcygeal returned to normal physiological radian. Conclusion: It is a good treatment for postoperative retroperitoneal residual cavity and postoperative cerebrospinal fluid leakage that the gluteus maximus muscle flap is stuffed and stuffed on the sacral chordoma.