摘要
目的 探讨腰椎间盘突出症术后失败的远期疗效。方法 1975～ 1994年经手术治疗 2 0 8例腰椎间盘突出症 ,118例获 3年以上远期随访 ,对其中 30例“下腰部手术失败综合征”(FBSS)病因进行回顾性分析。结果 椎管狭窄 9例 ,占 30 % ;临床腰椎不稳 8例 ,占 2 6 .7% ;硬膜外瘢痕 4例 ,占 13.3% ;不同水平椎间盘突出 4例 ,占13.3% ;同一水平椎间盘突出复发 2例 ,占 6 .7% ;神经根损伤、定位错误和假关节形成各 1例 ,分别占 3.3%。结论术后椎管狭窄仍是FBSS的主要原因 。
Objective To investigate the long-term results after a failure in lumbar disc protrusion surgery.Methods Two hundred and eight cases of lumbar disc herniation were operated from 1975 to 1994.Among them 118 cases were followed up for more than three years with 74.6% of good and excellent results.The rest 30 cases(25.4%)were failed to surgery which were regarded as Failed Back Surgery Syndrome(FBSS).Results Of the thirty patients,nine cases(30%)were spinal canal stenosis and eight(26.7%)were clinical instability of lumbar spine,four had a severe scar on the epidural space,four had a disc herniation in other level,two were recurrent in the same disc,one was nerve root damage,one was pseudarthrosis and one was mistaken location respectively.Conclusion The spinal canal stenosis is the main cause of FBSS,but the clinical instability of lumbar spine is a serious problem after operation.Therefore,we should pay attention to these unsolved problems in the clinical practice.
出处
《江西医学院学报》
2004年第3期74-76,共3页
Acta Academiae Medicinae Jiangxi
关键词
腰椎间盘突出症
外科手术
远期疗效
lumbar disc herniation
surgery operation
long-term results
