摘要
对107例腰椎间盘和椎管狭窄症手术效果欠佳者,根据其临床征象和影像学表现选择治疗方法,进行再手术治疗72例,获得优良效果60例(占83.3%);采用非手术治疗35例,获得改善23例,无变化12例。对腰椎椎间盘突出症和腰椎管狭窄症手术失败原因和其诊断作了详细论述。本文还对再手术适应证作了讨论。
One hundred and seven patients with lumbar disc hefniation and lumbar stenosis with poor operative results are presented in this paper. According to clinical manifestation and imaging features, appropriate treatment modality was selected for each patient. Seventy-two cases were reoperated, among which excellent and good results were obtained in 60 cases (83.3%). Thirty-five patients were treated with conservative method, 28 cases improved and 7 cases exhibited no changes.The causes of operative failure and diagnostic criteri on of lumbar disc herniaton and lumbar spinal stenosis are described in detail. The indications for re-operation were discussed.
出处
《解放军医学杂志》
CAS
CSCD
北大核心
1993年第3期178-181,共4页
Medical Journal of Chinese People's Liberation Army
关键词
椎间盘突出
椎管狭窄症
再手术
Lumbar disc herniation
Lumbar vertebra stenosis
Operation
Re-operation