中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
16期
22-23
,共2页
MED治疗%腰椎间盘突出症%原因分析
MED治療%腰椎間盤突齣癥%原因分析
MED치료%요추간반돌출증%원인분석
MED treatment%Lumbar disc herniation%Cause analysis
目的：分析MED(后路显微椎间盘镜手术)术后再手术的原因。方法：2000年1月-2010年1月收治单节段腰椎间盘突出症患者663例，给予MED治疗，观察临床疗效。结果：MED治疗的优良率90.8%，再手术患者43例，其中侧隐窝狭窄未解除18例，原位椎间盘突出13例，临近节段椎间盘突出6例，腰椎不稳2例，椎间盘感染2例，非典型椎间盘突出椎间盘节段定位错误1例，游离性椎间盘突出未发现1例。结论：隐窝狭窄未解除、原位椎间盘突出、临近节段椎间盘突出是后路椎间盘镜治疗腰椎间盘突出症手术失败的主要原因。
目的：分析MED(後路顯微椎間盤鏡手術)術後再手術的原因。方法：2000年1月-2010年1月收治單節段腰椎間盤突齣癥患者663例，給予MED治療，觀察臨床療效。結果：MED治療的優良率90.8%，再手術患者43例，其中側隱窩狹窄未解除18例，原位椎間盤突齣13例，臨近節段椎間盤突齣6例，腰椎不穩2例，椎間盤感染2例，非典型椎間盤突齣椎間盤節段定位錯誤1例，遊離性椎間盤突齣未髮現1例。結論：隱窩狹窄未解除、原位椎間盤突齣、臨近節段椎間盤突齣是後路椎間盤鏡治療腰椎間盤突齣癥手術失敗的主要原因。
목적：분석MED(후로현미추간반경수술)술후재수술적원인。방법：2000년1월-2010년1월수치단절단요추간반돌출증환자663례，급여MED치료，관찰림상료효。결과：MED치료적우량솔90.8%，재수술환자43례，기중측은와협착미해제18례，원위추간반돌출13례，림근절단추간반돌출6례，요추불은2례，추간반감염2례，비전형추간반돌출추간반절단정위착오1례，유리성추간반돌출미발현1례。결론：은와협착미해제、원위추간반돌출、림근절단추간반돌출시후로추간반경치료요추간반돌출증수술실패적주요원인。
Objective:To analyze the cause of postoperative reoperation of MED.Methods:663 cases with single segmental lumbar disc disease were selected from January 2000 to January 2010.They were treated with MED treatment.The clinical effect was observed.Results:The excellent and good rate of MED treatment was 90.8%.43 cases were given reoperation.18 cases were lateral recess stenosis unwinding.13 cases were in situ protrusion of the intervertebral disc.6 cases were adjacent segment disc herniation.2 cases were lumbar instability.2 cases were infection of intervertebral disc.1 case was atypical lumbar disc herniation of intervertebral disc section positioning error.1 case was undiscovered dissociation protrusion of intervertebral disc.Conclusion:The lateral recess stenosis unwinding,in situ protrusion of the intervertebral disc and adjacent segment disc herniation are the major causes of operation failure of microendoscopic discectomy in the treatment of lumbar disc herniation.
