人工髓核置换术治疗腰椎间盘突出症术后疼痛  

Investigation of PND in Postoperative LDH Pain

作　　者：杨新军 邹方亮 谭军[2] 史成富 李立钧[2] 于彬[2] 

机构地区：[1]山东省莒县人民医院,山东莒县276500 [2]上海市东方医院

出　　处：《中国伤残医学》2009年第2期12-13,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨人工髓核假体(PDN)治疗腰椎间盘突出症术后疼痛的原因和治疗。方法:自2002年12月～2004年7月对17例单节段腰椎间盘突出症施行PDNSolo置换术,其中7例术后出现腰部疼痛,并获得8～22个月(平均13.4个月)的随访,。结果:其中5例为术后短期剧烈疼痛,经消炎止痛类药物对症治疗后症状消失,无运动功能丢失,2例术后出现长期腰部疼痛,取出PDN假体,予以重新置入,术后1周腰部疼痛消失。结论:PDN置换术后患者出现腰部疼痛,其原因可能为术后腰背肌受刺激,引起肌肉痉挛所引起腰部疼痛,而长期腰部疼痛可能为椎间不稳所致,所有术后疼痛患者经对症早期积极治疗后均能获得满意效果。Objective：To investigate the reason and the treatment of PDN in postoperative LDH pain. Methods： From December 2002 to July 2004,17 consecutive cases with single-level LDH undergoing PDN Solo replacement. 7 of the 17 patients suffered from lumbar pain after operation and were followed up for 8 to 22 months （average 13. 4 months）. Results： Among the 7 cases, 5 cases suffered from short-term postoperative lumbar pain, and were successfully treated by anti-inflammatory and antalgesic drug without loss of motor function. Long-term lumbar pain after operation was observed in other 2 cases , who were taken out of the PDN and re-inserted it , then lumbar pain disappeared one week after reoperation. Conclusions： The reason why the patients underwent PDN replacement suffered postoperative lumbar pain might be that the lumbodorsal muscle got stimulation and spasm, while long-term lumbar pain might be caused by the unsteadiness of the lumbar spine. Satisfactory outcome can be obtained by earlier active treatment in all the patients with postoperative Iumar pain.

关 键 词：腰椎间盘突出 人工髓核置换 术后疼痛 

分 类 号：R681.5[医药卫生—骨科学]