摘要
目的探讨复发性腰椎间盘突出症再次手术和预防复方的方法。方法对46例再手术者均采用omnipaque作脊髓造影,确定再次手术方法。再次手术方法:采用开窗减压术8例,半椎板切除22例,全椎板切除6例,对10例全板切除合并腰椎不稳者施行后外侧融合,其中2例植入BAK。结果46例手术者方均随防3年2个月,优良率达91.3%。结论术前细致检查明确诊断,术中定位准确,术式得当,操作仔细是减少失误的关键。
Objective To discuss the reoperation and prevention of recurrent lumbar disc herniation. Methods MI 46 patients were examined by omnipaque myelography to determine the method of secondary operation. Totally 8 cases of fenestration, 22 cases of semi - laminectomy and 6 cases of laminectomy were studied. We perform posterior lateral fusion in 10 laminectomy which have unstable lumbar, 2 of them operated with BAK. Results All patients were followed up at average of 38 months, good and perfect rate is 91.3%. Conclusion Specific diagnosis before operation, find right level and reoperation methods in operation are the key points for us to reduce the mistakes.
出处
《医药论坛杂志》
2009年第12期17-18,共2页
Journal of Medical Forum
关键词
腰椎间盘突出
再次手术
预防
Lumbar disc herniation operation
Reoperation
Prevention
