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复发性腰椎间盘突出症原因与再次手术方法的分析
Reasons of recurrence lumbar disc herniation and analysis of reoperation treatment
【摘要】 目的:探讨腰椎间盘突出症多种方法手术后复发的原因及再次手术方法。方法:根据病人首次腰椎间盘突出症手术治疗方法及复发的临床表现,采用脊髓造影,CT,MRI检查,了解复发的原因,采用不同的再次手术方法。结果:52例病人随访0.5~15年,平均3.5年,优28例,良17例,可5例,差2例,优良率为86.5%。结论:腰椎间盘突出症采用不同的手术方法都可能出现复发,再次手术必须根据病情,方能取得良好效果。
【Abstract】 To investigate the reasons of recurrence lumbar disc herniation after surgical treatment and analysis the reoperation methods. Methods: CT, MRI were used for the preoperative localization of recurrence, and then the different reoperations were used again according to the recurrence of first operations. Results: 52 cases had been followed-up 0.5~5 years (average 3.5 years). As a result, excellent 28 cases, good 17, normal 5, and bad 2. The proportion of excellent and good cases was 86.5%. Conclusions: Recurrence will happen after all different methods of surgical treatment for lumbar disc herniation, but good results will emerge if reoperation are used according to the patients’ condition.
【Key words】 intervertebral disc; lumbar disc herniation; recurrence; reoperation;
- 【文献出处】 中国临床解剖学杂志 ,Chinese Journal of Clinical Anatomy , 编辑部邮箱 ,2004年04期
- 【分类号】R687.3
- 【被引频次】6
- 【下载频次】110