28例腰椎间盘突出症再手术的医源性分析

THE IATROGENIC ANALYSIS OF REOPERATION AFTER LUMBAR INTERVERTEBRAL DISC PROTRUSION SURGERY(28 CASES)

目的：寻找腰椎间盘突出症手术失败的原因及防治措施。方法：通过再次手术探查，发现了8种医源性失误。结果：本组需再手术的31例中，28例都找到引起初次手术失败的医源性失误，在补救之后，每例的症状都得到不同程度的改善。结论：要提高腰椎间盘治愈率，必须诊断精确，手术完美。

Objective:Search for both the causes of failure in surgical treatment for protruded intervertebral disk and the remedial measures. Methods:Through reoperative exploration the authors found out 8kinds of iatrogenic faults. Results:There were 31 cases undergoing reoperation and in each of the 28 presented one or more kinds of iatrogenic faults for which remedies were provided. The retained symptomsafter initial surgery subsided in varying degrees. Conclusion:It is necessary to establish a diagnosis exactand in detail,and to perform an operation complete and precise,if the cure rate is to be raised for the lesions of the disk.