CAJ | 학술논문

各类腰椎手术后症状持续存在或症状缓解后再复发的腰腿痛统称为腰椎术后失败综合征( failed back surgery syndrome, FBSS)。腰椎间盘突出症髓核摘除术中手术节段定位错误发生率为2.1%~2.7%；原手术节段椎间盘再突出的发生率为5%~11%；单纯椎间盘髓核摘除术后感染率高达6．9%；术后脑脊液漏与术中硬脊膜损伤密切相关,发生率为1.8%~14.0%；随着腰椎融合手术随访病例的增多,相邻节段退变和相邻节段退变性疾病的发生率也在递增。因此,脊柱外科医师必须做到术前诊断正确、计划细致,严把手术适应证,术中操作精细,术后认真观察,才能最大限度地减少相关并发症的发生,提高手术治疗效果。
각류요추수술후증상지속존재혹증상완해후재복발적요퇴통통칭위요추술후실패종합정( failed back surgery syndrome, FBSS)。요추간반돌출증수핵적제술중수술절단정위착오발생솔위2.1%~2.7%；원수술절단추간반재돌출적발생솔위5%~11%；단순추간반수핵적제술후감염솔고체6．9%；술후뇌척액루여술중경척막손상밀절상관,발생솔위1.8%~14.0%；수착요추융합수술수방병례적증다,상린절단퇴변화상린절단퇴변성질병적발생솔야재체증。인차,척주외과의사필수주도술전진단정학、계화세치,엄파수술괄응증,술중조작정세,술후인진관찰,재능최대한도지감소상관병발증적발생,제고수술치료효과。
The persistence and recurrence of back and leg pain after various lumbar surgery is defined as failed back surgery syndrome (FBSS). The incidence of wrong level approach in lumbar discectomy is approximately 2. 1%-2. 7%. The rate of recurrent herniation at the previously operative level is reported to be 5%-11%. The infection rate after lumbar discec-tomy is about 6. 9%, with an increasing tendency following the widespread use of internal implant. Cerebrospinal fluid leak with the incidence rates of 1. 8%-14. 0%, which is associated with dural injury. As the increasing cases with long-term follow-up of lumbar fusion, the rate of adjacent segment degeneration and adjacent segment disease on the rise. Therefore, correct postoperative diagnosis, strict surgical indication, refined approach plan, careful postoperative observation should be conduc-ted by spinal surgeons. In this way, the complications will be reduced to the maximum extent and the clinical outcomes will be optimized.