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腰椎间盘突出症再手术原因分析

Analysis of the Causal Factors on Reoperationfor Recurrence of Prolapsed Lumbar Interver-tebral Disk

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【作者】 冉永欣谷加炎龚祖元吴卫平陈正启

【Author】 Ran Yongxin; Gu Jiayan; GongZuyuan et al. (Shanghai Railway Central Hos-pital, 200072)

【机构】 上海铁路局中心医院

【摘要】 报道分析了我院收治的腰推问盘突出症再手术者42例,首次手术由他院施行17例,我院施行25例,其中诊断错误5例,术中定错位4例,漏切椎间盘3例,术后复发15例,再突出9例,并发椎管狭窄5例,下腰椎手术失败综合征1例。随访半年至18年平均巳2年,优良率88.1%。

【Abstract】 ut of 665 operations for prolapsed lumbarintervertebral discs, 42 were reoperated be-cause of recurrences. Of these, 17 cases hadtheir initial operations in other hospitals; 25cases were firstly treated in this hospital , thereoperative rate being 3. 76 % ,and the follow-up period from 6 months to 18 years (in aver-age 5. 2 years). The excellent and good ratewere 88. 1%. Among the causal factors of thereoperative procedures there were postopera-tion recurrences in 15 cases, reprolapses in 9complicated spinal cannal stenosis in 5,incor-rect location in 4, escaped condition in 3, pro-lapsed disc missed in 3, misdiagnosis in 2 andsyndrome of failed lumbar operation in 1 case.The key point of this article was to discuss theintrogenic factors for reoperation and the pre-ventive methods.

【关键词】 椎间盘腰椎手术
【Key words】 intervertebral diskilumbar verte-braeoperation
  • 【文献出处】 铁道医学 ,RAILWAY MEDICAL JOURNAL , 编辑部邮箱 ,1995年03期
  • 【分类号】R681.530.5
  • 【被引频次】5
  • 【下载频次】17
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