腰椎间盘突出症术后复发的原因分析  

Reasons for Postoperative Recurrence of Lumbar Disc Herniation

作　　者：杨春旭 YANG Chun-xu(Department of Orthopaedics,Inner Mongolia Forestry General Hospital,Yakeshi 021000,China)

机构地区：[1]内蒙古林业总医院骨科,内蒙古牙克石021000

出　　处：《中国医药指南》2018年第20期21-22,共2页Guide of China Medicine

摘　　要：目的分析探讨腰椎间盘突出症后复发的原因。方法选取100例腰椎间盘突出症后复发的患者资料进行研究,分析复发原因。结果术后复发原因如髓核切除不彻底、继发神经性狭窄、腰椎不稳、瘢痕增生过度、原骨性狭窄未解除、定位错误复发率依次为40.00%、26.00%、13.00%、23.00、4.00%、4.00%,术后随访优良率为92.00%,性别、体质量、年龄、术后锻炼、基础疾病、吸烟史等均与疾病复发有一定的相关性。结论腰椎间盘突出症后复发的相关因素有性别、体质量、年龄、术后锻炼、基础疾病、吸烟史等,主要原因有髓核切除不彻底、继发神经性狭窄、术后腰椎不稳等。Objective In order to analysis the reasons for postoperative recurrence of lumbar disc herniation.Methods 100 patients with lumbar disc herniation after surgery were choosed to retrospectively analysed,analysis their reasons.Results The reasons for postoperative recurrence,such as Incomplete removal of nucleus pulposus,Secondary neuropathic stenosis,instability of lumbar spine,Excessive scar hyperplasia,original bony stenosis unwinding,alignment error,their recurrent rate were 40.00%,26.00%,13.00%,23.00,4.00%,4.00%.The excellent and good rate was 92.00%,And postoperative recurrence of lumbar disc herniation has relevance with gender,weight,age,postoperative exercise,basic diseases,smoking history.Conclusion The main factors of postoperative recurrence of lumbar disc herniation are gender,weight,age,postoperative exercise,basic diseases,smoking history,the reasons are Incomplete removal of nucleus pulposus,Secondary neuropathic stenosis,instability of lumbar spine,and so on.

关 键 词：腰间盘突出症 复发原因 防治对策 

分 类 号：R681.53[医药卫生—骨科学]