复发性腰椎间盘突出症的临床诊断与治疗  

The Treatment and Clinical Diagnosis of Relapse Protrusion of the Intervertebral Disc in Lumbar

作　　者：林成君[1,2,3] 杜学刚[1,2,3] 渠继武 刘磊[1,2,3] 王爱民 刘庆龙 

机构地区：[1]淮南矿三院骨科 [2]淮南化工总厂医院 [3]安徽造纸厂医院

出　　处：《颈腰痛杂志》1998年第1期15-17,共3页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的：为复发性腰椎间盘突出症的诊断及治疗提供一定的帮助。方法：了解３１例临床的特点及病理的改变，并通过再手术作验证和治疗。其中明显外伤史２２例，顽固性腰痛１８例，马尾神经损伤２４例，原间隙复发的２２例，脱出游离型１８例，合并继发性神经通道狭窄２４例。结果：ＭＲＩ突出诊断符合率为７６４７％，再手术验证诊断符合率为７７７％．术后疗效随访６个月～４８年（平均２２年）优良占８３９％。结论：对疑难诊断目前ＭＲＩ仍具有一定的优越性；再手术时应彻底切除变性突出，游离的椎间盘组织，解除一切构成神经通道狭窄的因素，同时应注意对椎体稳定性的重建。Aim It may be help to diagnose and treat relapse protrusion of the intervertebal disc.Methods:To investigate the clinical trait and the pathological changes of 31 cases among them 22 caees haveevidently injury history,intractable lumbago(18cases)and damage of cauda equina (24 cases).Moreover,Reoperation showed that there were 22 cases original interval recur,18 cases protrusive dissociate and 24 cases with continuous nerve canal stenosis in all 31 cases.Results:The curative effect 839% were good with the followup period from 6-58 months.Conclusion:Nowadays,MRI always has superiority to those case couldn't definitely diagnosed.Reoperation must excise thoroughly denatured protrusion,dissociate intervertebral disc tissue and all factors of making nerve canal stenosis,and rebuild the vertebrae stability.

关 键 词：复发性 腰椎间盘突出 诊断 治疗 

分 类 号：R681.53[医药卫生—骨科学]