经椎间盘镜治疗腰椎间盘突出症术后并发症的报告  

A report of complications of lumbar disc herniation after lumbar disc herniation by microendoscopic discectomy

作　　者：李文强 刘晓峰 海拉提·瓦提别克 

机构地区：[1]伊犁州友谊医院,新疆伊犁835000

出　　处：《中国伤残医学》2016年第16期4-5,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨经椎间盘镜（Microendoscopic Discectomy， MED）治疗椎间盘突出症（Lumbar Disc Herniation， LDH）术后并发症，寻找相关原因及预防措施。方法：回顾性分析2012年6月～2014年6月，我院收治的单节段LDH行MED手术治疗93例患者，获得如年龄、性别、术中及术后并发症等信息。结果：中转开放后路手术7例，硬脊膜撕裂4例，神经根拉伤2例，MED滑移不稳2例，椎管内出血3例。随访1～3年，14（15．05％）例失访，1例手术部位感染，术后6周症状缓解87例，随访终末期复发17例。结论：MED治疗LDH存在相关并发症风险，严格的手术适应证，熟练的操作技术，以降低MED相关并发症发生率。Objective：To investigate the complications of lumbar disc herniation after lumbar disc herniation by microendoscopic dis -cectomy, search for relevant causes and preventive measures .Methods：Retrospective analysis of June 2012 to June 2014, a single seg-ment of LDH MED was treated in our hospital for 93 patients, information such as age, gender, intraoperative and postoperative complica-tions were acquired .Results：Open posterior operation in 7 cases, dural tear in 4 cases, nerve root injury in 2 case, MED sliding instabil-ity in 2 cases, spinal bleeding in 3 cases.Follow up 1-3 years, 14（15.05%） cases were lost visit , 1 cases of surgical site infection , 6 cases of symptoms relieved after surgery , 17 cases were followed up for 87 cases.Conclusion：MED had the risk of complications associ-ated with LDH, strict operation indication and skilled operation technology , to reduce the incidence of MED related complications .

关 键 词：椎间盘镜 腰椎间盘突出症 并发症 

分 类 号：R681.5[医药卫生—骨科学]