经皮穿刺腰椎间盘髓核摘除术失败原因分析  

Failure and Reoperation of Percutaneous Lumbar Discectomy

作　　者：黄强[1] 杨安礼[1] 林兆华[1] 张玉信[1] 蔡珉巍[1] 彭健[1] 

机构地区：[1]上海市杨浦区中心医院骨科,上海200090

出　　处：《上海第二医科大学学报》2002年第1期64-66,共3页Acta Universitatis Medicinalis Secondae Shanghai

基　　金：上海市医学领先专业特色专科基金资助项目 (951 1 0 0 2 )

摘　　要：目的分析经皮穿刺腰椎间盘髓核摘除术 (PLD)的手术失败原因。　方法 1995年 8月～ 1999年 3月的 146例腰椎间盘突出症患者行经皮穿刺腰椎间盘髓核摘除术 ,对其中 16例术后再手术的患者临床资料进行回顾性分析。　结果初次PLD手术失败原因主要为椎管狭窄未解除、多间隙间盘突出遗漏、椎间盘钙化等 ,16例再手术病人取得良好效果 ,优良率达 87 6 %。　结论只有严格掌握PLD手术的适应症及操作技术 ,才能减少和避免再次手术的发生。Objective To analyse the causes of failure in percutaneous lumbar discectomy (PLD) so as to provide preventive measures and decrease the reoperative rate. Methods From Aug. 1995 to Mar. 1999, 146 cases of lumbar disc herniation (LDH) were treated with PLD and 16 failure patients undergoing reoperation were evaluated. Results The causes of failure of PLD were mainly due to inadequate decompression, diagnostic errors of multilevel LDH, and LDH with calcication. 87.6% of the patients after reoperation obtained excellent and good results. Conclusion Selection of patients for the operation of PLD should be strict and the technic of operation must be skilled, reoperation would then be reduced or avoided.

关 键 词：经皮穿刺髓核摘除术 手术失败 再手术 治疗 

分 类 号：R681.53[医药卫生—骨科学]