| MED治疗腰椎间盘突出症术后复发的翻修手术方法 |
| |
| 引用本文： | 张年春,周跃,初同伟,张峡,王卫东,王建,李长青,郝勇.MED治疗腰椎间盘突出症术后复发的翻修手术方法[J].重庆医学,2009,38(20). |
| |
| 作者姓名： | 张年春 周跃 初同伟 张峡 王卫东 王建 李长青 郝勇 |
| |
| 作者单位： | 第三军医大学新桥医院骨科,重庆,400037 |
| |
| 摘 要： | 目的 探讨微创腰椎间盘镜下髓核摘除术(MED)后复发的原因和治疗方法.方法 采用MED治疗的单节段腰椎间盘突出症患者术后症状复发73例.统计其症状复发的时间、原因及再次手术方式.结果 MED治疗腰椎间盘突出症(LDH)术后复发平均时间为(5.6±2.3)个月.术后症状复发的原因:侧隐窝狭窄未解除33例(45.2%),原位突出14例(19.2%),游离型椎间盘突出未发现8例(11.0%),椎间盘炎8例(11.0%),相邻椎间盘突出5例(6.8%),术后腰椎不稳3例(4.1%),神经根粘连2例(2.7%).再次手术方式:MED 8例,椎板开窗髓核摘除术29例,半椎板切除神经根减压术21例,半椎板切除、横突间融合单侧椎弓根螺丝钉固定术4例,全椎板切除、椎间植骨融合内固定术3例,前路椎间盘摘除植骨融合术7例,前路椎间盘摘除术1例.前3种术式占再次手术总数的79.5%.结论 MED治疗LDH术后复发时间一般在术后6个月左右.复发的主要原因是合并侧隐窝狭窄未解除和摘除椎间盘不彻底致原位突出.MED治疗LDH术后复发多数可采用MED、椎板开窗或半椎板切除髓核摘除术等方法治疗.
|
| 关 键 词： | 腰椎间盘突出症 复发性腰椎间盘突出症 腰椎 椎间盘 |
Management of recurrent herniations after microendoscopic discectomy for the treatment of lumbar disc herniation |
| |
| ZHANG Nian-chun,ZHOU Yue,CHU Tong-wei,et al..Management of recurrent herniations after microendoscopic discectomy for the treatment of lumbar disc herniation[J].Chongqing Medical Journal,2009,38(20). |
| |
| Authors: | ZHANG Nian-chun ZHOU Yue CHU Tong-wei |
| |
| Institution: | ZHANG Nian-chun,ZHOU Yue,CHU Tong-wei,et al.(Department of Orthopaedics,Xinqiao Hospital,Third Military Medical University,Chongqing 400037,China) |
| |
| Abstract: | Objective To explore the efficacy of microendoscopic discectomy(MED)for the treatment of lumbar disc herniation(LDH) and the causes and treatment of recurrent herniation after MED.Methods Seventy-three cases with symptoms of recurrent low back and/or leg pain after primary surgical treatment with MED for single-segmented LDH were included in this study.The recurrent time,the causes of the recurrences and the treatment modalities for the recurrences were statistically evaluated.Results The mean time of recur... |
| |
| Keywords: | MED |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
|
