腰椎间盘突出症再手术的原因及其预防措施:附13例临床报告 |
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引用本文: | 蔡永年 肖鲁伟. 腰椎间盘突出症再手术的原因及其预防措施:附13例临床报告[J]. 中医正骨, 2000, 12(3): 9-10 |
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作者姓名: | 蔡永年 肖鲁伟 |
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作者单位: | 浙江省中医院!杭州310006,浙江省中医院!杭州310006,浙江省中医院!杭州310006,浙江省中医院!杭州310006 |
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摘 要: | 报告了腰椎间盘突出症再手术患者 13例 ,分析其再手术原因有过于依赖 CT、定位错误、术前适应症掌握不当、术中髓核摘除不够、术后限制活动时间不足、医源性椎管和 (或 )神经根管狭窄、多节段突出处理不当、过分破坏脊柱稳定性、神经根未彻底松解及影像假象误导等。据此提出了一些针对性的预防措施
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关 键 词: | 腰椎间盘突出症 术后并发症 病因学 治疗 |
THE CAUSES AND PREVENTION OF REPEATED SURGERY OF LUMBAR INTERVERTEBRAL DISK HERNIA: A Report of 13 Cases |
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Abstract: | Thirteen cases of repeated surgery of lumbar intervertebral disk hernia are reported in the paper. Through the analyses, it was found that the causes for the repeated surgery included too much dependence on CT, erroneous location, incorrect preoperative selection of the indications, inadequate intraoperative extirpation of the pulpiform nucleus, short limitation of postoperative activity, iatrogenic spinal canal or neurocanal stenosis, incorrect treatment of the multi segmental hernia, too much destroyed spinal stability, irradical lysis of the nerve root and erroneous conduction by false images. Against these causes, the preventive measures are presented in the paper. |
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Keywords: | lumbar intervertebral disk hernia/treatment surgery/complication clinical study |
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