腰椎间盘突出症二次手术临床分析  

Clinical analysis of the second operation on prolapse of lumbar in tervertebral disc

作　　者：李克坤[1] 代大平[1] 庞伟[1] 种方军[1] 康乐[1] 裴志强[1] 

机构地区：[1]解放军第323医院骨科,陕西西安710054

出　　处：《西北国防医学杂志》2005年第2期115-116,共2页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:提高腰椎间盘突出症手术治愈率,减少该病复发率。方法;收治腰椎间盘突出症第一次术后症状复发患者2 6例,根据X线,CT ,MRI,进行二次手术,了解第一次手术复发原因和二次手术方式。结果:痊愈14例;显效6例;有效3例;无效3例。结论:术后椎间盘残留复发,减压不彻底和疤痕粘连牵拉脊髓神经为主要原因。掌握手术适应证,选择合理术式,彻底切除椎间盘,扩大神经根管及腰椎管,减少术后粘连是提高腰椎间盘突出症手术疗效之关键。Objective:To reduce retakeplace aft er surgical treatment of prolapse of lumbar intervertebral disc and i mprove the effect of the operation. Methods:Twenty-six patie nts with prolapse of lumbar intervertebral disc who were tre ated wi th the first surgical treatment, had rehappened and received the second opera tion.Results:Fourteen patients were fully recovered ,6 cases were improved, 3 cases were effective and another 3 cases were ineffective. Conclusion: Reducing adhesion after operation, widening lumber canner and selecting the right surgical method is the key point to get effective results o f operation.

关 键 词：脊柱 腰椎间盘突出 手术 

分 类 号：R687.3[医药卫生—骨科学]