【摘要】 目的手术是治疗腰椎间盘突出症的一个重要方法,探讨腰椎间盘突出症手术疗效不佳需再次手术的原因。方法通过19例需再次手术的腰椎间盘突出症病例进行回顾性研究,结合文献找出再次手术的原因。结果再次手术的原因主要是术前诊断及定位错误、术后血肿压迫、椎间盘再次突出、对侧隐窝狭窄认识不足、椎管内瘢痕增生粘连、感染等。结论术前准备充分,术中操作规范,术后针对不同情况积极预防是避免再次手术的关键。更多还原

【Abstract】 Aim To investigate the cause of reoperation on lumbar intervertebral disc protrusion for improving the surgical effect.Methods 19 patients who had reoperation on lumbar intervertebral disc herniation were investigated retrospectively.There were 14 males and 5 females, aged 23-69.Results There were 2 cases of haematoma, 2 cases of intervertebral disc infection,5 cases of star cohesion, 6 cases of former intervertebral disc protrusion,3 cases of another intervertebral disc protrusion and 1 case of former and another intervertebral disc protrusion in the reoperation.After reoperation all patients were followed up for a mean interval of (6±48)months and 98%(18 patients) are well developed rehabilitation evaluated by Joint Operating Agreement (JOA).Conclusion Detailed examination and careful preparation before operation are important to avoid bad results of the operation on lumbar disc protrusion, including nucleus pulposus removed completely, nerve root released completely, and radicular canal magnified if necessary.更多还原