腰椎间盘突出症术后疗效不佳的原因分析及对策

Reason analysis and countermeasure of the poor curative effect after the operation of lumbar disc herniation

目的:探讨腰椎间盘突出症术后疗效不佳的原因及解决对策。方法:选择接受腰椎间盘突出症治疗且术后出现并发症患者18例,回顾性分析临床资料。结果:18例患者中,手术切除髓核不彻底6例(33.33%),腰椎管狭窄6例(33.33%),手术椎体间不稳定性增大4例(22.23%),术前误诊或者漏诊2例(11.11%)。优6例,良9例,可2例,差1例。结论:术前充分准备、术中严格操作及术后密切观察能有效预防术后并发症,保证手术治疗效果。

Objective:To explore the reasons and countermeasure of the poor curative effect after the operation of lumbar disc herniation.Methods:18 patients with postoperative complication after the operation of lumbar disc herniation were selected,and the clinical data were retrospectively analyzed.Results:Among the 18 patients,surgical removal of the nucleus pulposus was not complete in 6 cases(33.33% );6 cases(33.33% ) had lumbar spinal stenosis;the instability between the operative centrum was increased in 4 cases(22.23%);and 2 cases(11.11%) were misdiagnosed or missed before operation.6 cases were excellent;9 cases were good;2 cases were general;1 case was poor.Conclusion:Preoperative adequate preparation,strict operation during operation and postoperative close observation can effectively prevent postoperative complications and ensure the effect of surgical treatment.