腰椎术后硬膜外瘢痕研究进展  

Research progress of epiduralscar after lumbars pinesurgery

作　　者：叶伟康[1] 房清敏[1] 王大巍[1] 张岱捷 

机构地区：[1]滨州医学院附属医院脊柱外科,山东滨州256600

出　　处：《岭南现代临床外科》2017年第2期236-239,共4页Lingnan Modern Clinics in Surgery

摘　　要：腰椎间盘突出症患者在行椎板切除减压或椎间盘切除术后,仍存留下肢顽固性疼痛不适症状。这些不适的症状有可能由术后获得性椎管狭窄,相邻节段退变,椎间盘复发,腰椎滑脱以及硬膜外瘢痕等原因引起。其中,硬膜外瘢痕(神经根粘连、硬膜外纤维化)可能占20%~36%。有学者研究怎样减少硬膜外瘢痕的材料或方法,也有学者致力于术后硬膜外瘢痕的治疗。本文就硬膜外瘢痕研究进展做一综述。Lumbar disc herniation in patients with laminectomy or discectomy after lower limb remained intractable pain symptoms. These symptoms of discomfort may be acquired by postoperative spi- nal stenosis, adjacent segment degeneration, intervertebral disc and lumbar spondylolisthesis recurrence caused by epidural scar and other reasons. Among them, the epidural scar （nerve root adhesion, epidural fibrosis ） may account for 20% to 36%. Some scholars have studied how to reduce the epidural scar mate- rials or methods, but also some scholars committed to the treatment of epidural scar after surgery. This paper made a review on the research progress of epidural scar.

关 键 词：硬膜外瘢痕 腰椎术后 疼痛 

分 类 号：R681.55[医药卫生—骨科学]