摘要
目的分析腰椎间盘突出症手术后复发的原因,探索有效的手术治疗方法。方法对2004年8月-2011年7月收治的32例腰椎间盘突出症术后复发再手术的患者,根据其病因采用3种不同手术方法治疗,其中椎间盘摘除术14例,椎间盘摘除联合腰椎后外侧融合内固定术7例,椎间盘摘除联合腰椎后路椎体间融合内固定术11例,术后应用改良Macnab疗效评定标准、Oswestry功能障碍指数(ODI)和影像学检查对手术治疗的临床疗效进行评价。结果 3种手术治疗方法均取得了满意的优良率;术后3个月及末次随访ODI评分术后较术前明显降低,差异有统计学意义(P<0.05)。结论腰椎间盘突出症术后复发与多种原因有关;根据复发患者的情况合理选择手术治疗方法均能取得较好的临床疗效。
Objective To investigate the causes of postoperative recurrent lumbar disc herniation （LDH） and its surgical method. Methods Thirty-two patients were treated respectively by three kinds of surgical methods according to different causes in Orthopedics Department of Kaixian People＇s Hospital of Chongqing from August 2004 to July 2011. We evaluated the clinical efficacy for postoperative patients with LDH by the combination of Macnab criteria, oswestry disability index （ODI） and imaging tests. Results All patients were satisfied with the treatment. Their ODI at three months after surgery and during the last follow-up was significantly lower than that before operation （P 〈 0.05）. Condusions There are many factors associated with recurrent postoperative LDH. Reasonable operation to treat recurrence of LDH can gain good therapeutic effects according to patients＇ information.
出处
《华西医学》
CAS
2013年第12期1837-1839,共3页
West China Medical Journal
关键词
腰椎间盘突出症
复发
手术治疗
Lumbar disc herniation
Recurrent
Surgical treatment
