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腰椎间盘突出症再手术原因分析 被引量:5

Analysis of the Causal Factors on Reoperationfor Recurrence of Prolapsed Lumbar Interver-tebral Disk
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摘要 报道分析了我院收治的腰推问盘突出症再手术者42例,首次手术由他院施行17例,我院施行25例,其中诊断错误5例,术中定错位4例,漏切椎间盘3例,术后复发15例,再突出9例,并发椎管狭窄5例,下腰椎手术失败综合征1例。随访半年至18年平均巳2年,优良率88.1%。 ut of 665 operations for prolapsed lumbarintervertebral discs, 42 were reoperated be-cause of recurrences. Of these, 17 cases hadtheir initial operations in other hospitals; 25cases were firstly treated in this hospital , thereoperative rate being 3. 76 % ,and the follow-up period from 6 months to 18 years (in aver-age 5. 2 years). The excellent and good ratewere 88. 1%. Among the causal factors of thereoperative procedures there were postopera-tion recurrences in 15 cases, reprolapses in 9complicated spinal cannal stenosis in 5,incor-rect location in 4, escaped condition in 3, pro-lapsed disc missed in 3, misdiagnosis in 2 andsyndrome of failed lumbar operation in 1 case.The key point of this article was to discuss theintrogenic factors for reoperation and the pre-ventive methods.
出处 《铁道医学》 1995年第3期139-140,共2页 Railway Medical Journal
关键词 突出 腰椎 外科手术 原因分析 intervertebral diskilumbar verte-brae operation
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