腰椎间盘突出症术后残留腰背部疼痛236例临床分析

Clinical Analysis of Remaining Pain in the Waist and Back Lasting after Operation for Protrusion of Lumbar Intervertebral Disc

目的探讨腰椎间盘突出症术后残留腰背部疼痛与脊神经后支综合征的发病机制及关系。方法在236例腰椎间盘突出症术后残留腰背部疼痛合并脊神经后支综合征的患者中,均行脊神经后支切断术,对其进行回顾总结,结合解剖病理特征,发病机制,手术原理进行分析讨论。结果 在236例中,随访时间半年以上者193例(6个月一3年),平均1年7个月,优良率为96.9％,无1例严重并发症,无1例因脊神经后支被切断而致感觉、功能障碍者。结论该组病例诊断容易,手术方式简单,对提高腰椎间盘突出症术后残留腰背部疼痛的治愈率有很好的应用价值。

Objective To investigate the relationship between the remaining lumber-back pain after operation for prolapse of lumber intervertebral disc and pathogenesis of posterior spinal nerve ramus syndrome. Methods Retrospective summarizadon was done for 236 cases with remaining lumber-back pain and posterior spinal nerve ramus resection. Analysis and discussion were performed about the anatomic pathological features, pathogenesis and operative principle. Results Among 236 cases,the follow-up time was over half a year for 193 cases(6 months to 3 years, average 1 year 7 months) .The excellent result rate was 96.9% without any serious complications nor sensory or functional disturbance because of posterior spinal nerve ramus resection. Conclusion The cases in this group were easy to diagnose and the operation was simple. It has practical value to enhance the curative rate of remaining lumber-back pain after operation for prolapse of lumber intervertebral disc.