腰椎间盘突出症再手术治疗的临床分析  

Reoperation of Lumbar Disc Herniation

作　　者：王鹏福[1] 寇剑铭[1] 邵衍林[1] 孙兵[1] 侯建文[1] 赵杉[1] 

机构地区：[1]江苏省连云港市第二人民医院,222006

出　　处：《中国全科医学》2011年第27期3159-3160,共2页Chinese General Practice

摘　　要：目的分析腰椎间盘突出症再手术的原因及临床资料。方法回顾性分析本院1990-2009年31例行腰椎间盘突出症行再手术患者的临床资料。结果评定结果:优良24例,可7例,无一例症状加重或无效,未有行第3次手术者,优良率77.4%。术中4例硬膜损伤缝补后出现脑脊液漏,术后4例出现脑脊液漏的并发症。结论腰椎管狭窄、瘢痕粘连、神经根受压变细及复发性间盘突出等为再手术的主要原因。Objective To analyze the causes and outcomes of reoperation after lumbar intervertebral disc protrusion operation.Methods Clinical data of 31 lumbar disc herniation cases underwent reoperation from 1990 to 2009 in our hospital were retrospectively analyzed.Results The results of reoperation turned out to be excellent in 24 cases（77.4%） and good in 7 cases.No aggravation case or invalid case was found.Third operation was performed in no case.Cerebrospinal fluid leak（CSFL） was found in 4 cases during the operation and in 4 cases postoperatively.Conclusion Lumbar spinal stenosis,scar adhesions,compressed thinner nerve roots and recurrent herniation are among the main reasons for reoperation.

关 键 词：腰椎 椎间盘切除术 再手术 手术后并发症 

分 类 号：R681.533.1[医药卫生—骨科学]