腰椎间盘突出复发的相关因素与预防措施  

作　　者：殷明[1] 熊文华[1] 孟繁胜[1] 胡福云[1] 鲁海江[1] 

机构地区：[1]深圳市宝安区石岩人民医院骨科,518108

出　　处：《当代医学》2012年第17期19-20,共2页Contemporary Medicine

摘　　要：目的分析腰间盘突出症术后复发的主要原因及预防措施。方法对2004年1月～2011年7月收治的腰椎间盘突出症复发入院的49例患者资料进行回顾性分析,总结患者复发的主要原因,并提出预防措施。结果 49例患者中,由于手术节段残留椎间盘突出者27例,瘢痕组织粘连造成神经根压迫13例,术后腰椎不稳定4例,侧隐窝狭窄3例,神经根管狭窄2例。结论腰间盘突出症复发的原因较多,需要医生在手术前做到周到的检查,准确对突出段进行定位,并选择合适的手术方式,重视术后健康教育。Objective To analyze the major cause of recurrent lumbar disc herniation and preventive measures.Methods 49 cases of hospitalized patients with recurrent lumbar disc herniation were treated in 2004 in our hospital in January to July 2011 data were retrospectively analyzed,summarizes the major cause of recurrent patients,and preventive measures.Results 49 patients,surgery segment of residual disc herniation in 27 cases,scar tissue adhesions caused by nerve root compression in 13 cases,the stability of the Ministry of postoperative lumbar 4 cases,3 cases of lateral recess stenosis,nerve root canal stenosis 2 cases.Conclusion The recurrence of lumbar disc herniation more need to be thoughtful examination,the doctor before surgery to accurately locate the highlight segment,and select the appropriate surgical approach,attention to postoperative health education.

关 键 词：腰椎间盘突出症 复发 预防 健康教育 

分 类 号：R687.3[医药卫生—骨科学]