腰椎手术失败综合症原因分析及预防

目的：分析腰椎手术失败综合症(FLSS)的原因及相应的处理策略。方法：对本院在1990年7月～2002年1月收治的腰椎手术失败综合症36例进行回顾性分析并提出相应的处理措施。结果：本组病例共36例，其中硬膜外瘢痕15例，腰椎不稳8例，脊椎间隙感染6例，椎间盘突出再发4例，2例神经根损伤，1例蛛网膜炎。结论：硬膜外瘢痕、腰椎不稳、脊椎间隙感染为FLSS的主要原因。合理选择术式；术中严格无菌操作，减少创伤和出血；术中医用几丁糖预防性使用可以有效减少FLSS的发生。

Analysis of the cause and prevention of failed lumbar surgery syndrome

Objective To analyse the cause and prevention of failed lumbar surgery syndrome(FLSS). Methods 36cases FLSS from1990.7to2002.1were analysed retrospectively and provided corresponding management suggestion. Results 15cases were scar of the epidural space,8cases were lumbar spine instability,6cases were intervertebral space infection,4cases were intervertebral disc protrusion relapse,2cases were spinal nerve root injury,and1case was arachnoiditis. Conclusion The main causes of FLSS were scar of epidural space,lumbar spine instability,intervertebral space infection.The effective prevention of FLSS were selecting reasonable operation style,aseptic technique,reducing injure and hemmorrage and preventive using medical JIDINGTANG.