腰椎手术失败综合征41例的临床分析  

An analysis of the failed back surgery syndrome:Report of 45 cases

作　　者：邓宁[1] 杨显春[1] 陈勤[1] 

机构地区：[1]成都市第三人民医院骨科,四川610000

出　　处：《中国临床新医学》2009年第12期1305-1306,共2页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨腰椎手术失败综合征的原因及再手术的疗效。方法对2005～2009年41例行腰椎手术失败综合征进行回顾性分析,对患者术前诊断、术前临床及影像学表现、首次手术失败原因和再次手术的疗效等进行探讨。结果初次手术失败的原因主要是术后症状复发、腰椎不稳、椎管根管狭窄等问题。结论进行腰椎手术中,尽量避免引起FBSS的原因,提高首次手术的优良率,减少再手术。Objective To explore the reasons and treatment efficacy of failed back surgery syndrome （FBSS）. Methods A retrospective analysis was carried out for 41 cases of FBSS admitted from 2005 to 2009. The preoperative diagnosis of first operation and clinical manifestations and images before reoperation were evaluated to discuss the fail reasons for the first operation and assess the reoperation etilcacy. Results The main problem after the first operation were postoperative recurrence of symptoms, lumbar instability, spinal canal stenosis and so on. Conclusion The reasons for FBSS should be avoided in the first opration to reduce re-operation rate.

关 键 词：腰椎手术失败综合征 再手术 

分 类 号：R681.5[医药卫生—骨科学]