摘要
【目的】分析腰椎间盘突出症术后再突出的原因,探讨其手术方法。【方法】21例腰椎间盘突出症术后复发患者,经术前检查和术中证实为原发节段复发突出,行后路半椎板或全椎板切除椎间盘摘除神经根松解减压,或椎体间融合术。【结果】15例从原发侧突出,6例从对侧突出。10例初次术后有经常剧烈运动或负重劳动或外伤史。平均随访1.2年,按改良Macnab疗效评价标准,优10例,良7例,可3例,差1例。【结论】腰椎间盘原发节段复发可能和外伤及长期负重有关,且多为原发侧。再手术时如需切除关节突或棘上棘间韧带,则推荐进行椎间融合术。
[Objective]To analyze the reason for recurrent lumbar disc herniation after discectomy and probe its surgical techniques, [Methods]Twenty one cases of recurrent lumbar disc herniation undergone discectomy were confirmed at the same level of initial surgery by preoperative examination and surgical findings. All patients undwent either hemilaminectomy or total laminectomy discectomy, or interbody fusion, decompression and neurolysis of scarred nerve root at the same time. [Results]There were 15 cases of ipsilateral herniation and 6 cases of contralateral herniation. Ten patients had the history of usually violent exercise or weight loading or trauma. The mean follow-up duration was 1.2 years. Outcome evaluated according to the modified criteria of Macnab was excellent in 10 patients, good in 7, fair in 3, poor in 1. [Conclusion]The reason may be related to the trauma and usual weight loading. If the facet joint or supraspinous and interspinous ligament has been removed, interbody fusion is recommended.
出处
《医学临床研究》
CAS
2006年第9期1411-1412,共2页
Journal of Clinical Research
关键词
椎间盘移位/外科学
腰椎
手术后期间
intervertebral diskdisplacement/SU lumbar vertebrae postoperative period
