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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

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【作者】 王巧民周良安周可光

【Author】 WANG Qiao-min, ZHOU Liang-an, ZHOU Ke-guang Department of Orthopedics, The Guangdong Provincial People’s Hospital, Guangzhou 510080, China

【机构】 广东省人民医院骨科广东省人民医院骨科 广州 510080广州 510080广州 510080

【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.

  • 【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
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