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腰间盘脱出症再手术原因探讨

Analysis of tk e causal factors of reoperation for re-currence of prolapsed lumbar intervertebral disc

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【作者】 吴振东王海义王欢杨军贾长青

【Author】 /Wu Zhendong; Wang Haiyi; et al.(Department ofOrthopaedics,rhe Second affiliated Hospital of Chi-na Medical University Shengyang 110003.)

【机构】 中国医科大学附属第二医院骨科

【摘要】 1983年以来,我院手术治疗腰间盘脱出症492例,再次手术68例,其中40例来就外院,28例来自我院,我院手术复发率5.8%。全组病人随访1~8年,结果优良率73.5%。著者强调医原性因素是再手术最主要原因

【Abstract】 AbstractOut of 492 operations since 1983,for pro-lapsed lumbar intervertebral discs,68 were secp-mdary revision procedures, 40 of the 68 cases hadtheir initial surgery in other hospitals,The 28 caseswith recurrent lesions whicch were treated in thishospital accounted for 5.8%of the total number ofthese reoperated cases extended for 18 years, re-vealed excellent and good results in 73. 50%Amongthe causal factors of the reoperative procedures,there 45 cases of recurrent lesions, 9 cases of resid-ual disc tissue left unremoved during the initialsurgery, 7 cases of spinal stenosis, 4 cases of nerveroot injuries,and 3 cases of dural sacdeficit and ad-hesion of cauda equina,The authors emphasized theprevention of some of the iatrogenic factors.

【关键词】 脱出间盘遗留再手术
  • 【文献出处】 中华骨科杂志 ,CHINESE JOURNAL OF ORTHOPAEDICS , 编辑部邮箱 ,1994年01期
  • 【分类号】R687.3
  • 【被引频次】132
  • 【下载频次】118
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