| 腰椎间盘突出症术后翻修术的原因分析 |
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| 引用本文： | 郝定均,贺宝荣,许正伟,郭华,吴起宁,王晓东. 腰椎间盘突出症术后翻修术的原因分析[J]. 中国骨与关节损伤杂志, 2010, 25(9) |
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| 作者姓名： | 郝定均 贺宝荣 许正伟 郭华 吴起宁 王晓东 |
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| 作者单位： | 陕西省西安市红十字会医院脊柱外科,710054;陕西省西安市红十字会医院脊柱外科,710054;陕西省西安市红十字会医院脊柱外科,710054;陕西省西安市红十字会医院脊柱外科,710054;陕西省西安市红十字会医院脊柱外科,710054;陕西省西安市红十字会医院脊柱外科,710054 |
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| 基金项目： | 陕西省科技攻关项目[2006K14-G8(05)] |
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| 摘 要： | 目的探讨腰椎间盘突出症翻修术的主要原因及手术方式。方法对86例腰椎间盘突出症翻修术的患者进行分析和总结。翻修方式:后路全椎板减压、椎间盘切除、椎间植骨融合、内固定。采用VAS和Oswestry功能障碍指数进行评估。结果复发性腰椎间盘突出34例,腰椎节段性不稳定15例,继发性椎管狭窄13例,相邻节段腰椎间盘突出6例,神经根粘连6例,极外侧型椎间盘突出遗漏5例,椎间隙感染4例,内固定失败3例。随访14～132个月,再手术前VAS评分为(8.9±1.1)分,Oswestry功能障碍指数(51.4±6.9)分。再手术后末次随访时VAS评分为(2.6±1.1)分,Oswestry功能障碍指数(17.7±3.9)分,有显著性差异(P0.05)。所有患者末次随访时植骨融合率为100%。结论腰椎间盘突出症术后翻修的原因很多。再手术时正确分析其原因,采取积极、合理的治疗方案,可以取得满意的疗效。
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| 关 键 词： | 腰椎间盘突出症 翻修术 原因 |
Reasons of Revision for Lumbar Disc Herniation |
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| Hao Dingjun,He Baorong,Xu Zhengwei,et al.. Reasons of Revision for Lumbar Disc Herniation[J]. Chinese Journal of Bone and Joint Injury, 2010, 25(9) |
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| Authors: | Hao Dingjun He Baorong Xu Zhengwei et al. |
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| Affiliation: | Hao Dingjun,He Baorong,Xu Zhengwei,et al.Department of Spine Surgery Xi'an Red Cross Hopspital Xi'an,710054 |
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| Abstract: | Objective To analyze the reasons of the revision for the lumbar disc herniation.Methods Eighty-six patients with symptoms not improved or partially improved for a short time and recurring after lumbar discectomy were reviewed.They underwent the total laminectomy,decompressive discectomy,interbody fusion and internal fixation,and the effects were evaluated by VAS scoring and Oswestry Disability Index.Results The reasons of reoperation included:recurrent lumbar disc herniation(34 cases),postoperative segmenta... |
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| Keywords: | Lumbar disc herniation Revision Reasons |
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