腰间盘脱出症再手术原因探讨  

Analysis of tk e causal factors of reoperation for re-currence of prolapsed lumbar intervertebral disc

作　　者：吴振东[1] 王海义[1] 王欢[1] 杨军[1] 贾长青[1] 

机构地区：[1]中国医科大学附属第二医院骨科

出　　处：《中华骨科杂志》1994年第1期32-34,共3页Chinese Journal of Orthopaedics

摘　　要：１９８３年以来，我院手术治疗腰间盘脱出症４９２例，再次手术６８例，其中４０例来就外院，２８例来自我院，我院手术复发率５．８％。全组病人随访１～８年，结果优良率７３．５％。AbstractOut of 492 operations since 1983,for pro-lapsed lumbar intervertebral discs,68 were secp-mdary revision procedures, 40 of the 68 cases hadtheir initial surgery in other hospitals,The 28 caseswith recurrent lesions whicch were treated in thishospital accounted for 5.8%of the total number ofthese reoperated cases extended for 18 years, re-vealed excellent and good results in 73. 50%Amongthe causal factors of the reoperative procedures,there 45 cases of recurrent lesions, 9 cases of resid-ual disc tissue left unremoved during the initialsurgery, 7 cases of spinal stenosis, 4 cases of nerveroot injuries,and 3 cases of dural sacdeficit and ad-hesion of cauda equina,The authors emphasized theprevention of some of the iatrogenic factors.

关 键 词：椎间盘突出 腰椎 再手术 

分 类 号：R687.3[医药卫生—骨科学]