有限化手术治疗复发性腰椎间盘突出症  

Minimal surgical treatment for prolapsed lumbar disc from recurrence after initial operation

作　　者：吴卫平[1] 冉永欣[1] 谷加炎[1] 龚祖元 

机构地区：[1]上海铁道大学附属铁路医院骨科,上海200072

出　　处：《临床骨科杂志》2000年第1期15-16,共2页Journal of Clinical Orthopaedics

基　　金：上海铁道大学医学院科研基金资助课题!(编号9700190)

摘　　要：目的　评价有限化手术治疗复发性腰椎间盘突出症的疗效。方法　采用CT、MRI、CTM、脊髓造影定位 ,了解硬膜囊、神经根受压的程度和范围。手术有限切除病变节段椎板及关节突 ,摘除髓核 ,潜行扩大椎管、神经根管。结果　经 2～ 18年随访 ,优良 2 0例 ,可 2例 ,差 1例。结论　有限化手术能摘除髓核 ,也能行根管减压 ,脊柱损伤小 。Objective To evaluate therapeutic effect of the minimal surgical treatment for prolapsed lumbar disc from recurrence after initial operation. Methods CT, CTM and MRI were used for the preoperative localization for diagnosis. The degree and extent of the compression were clearly observed. The limited operative procedure through the lateral posterior route at site of original incision was used and the protruded discs and the spinal stenosis was dealt with. Results The patients were followed up for 2～18 years. Satisfactory late result were obtained in 20 cases, fair in 2 cases and poor in 1 case. Conclusion The spinal stenosis and protruded disc can be dealt with properly by this method with less spinal injury and good long term therapeutic effect.

关 键 词：腰椎间盘突出症 复发 再手术 有限化手术 治疗 

分 类 号：R681.530.5[医药卫生—骨科学]