后路腰椎间盘镜手术治疗腰椎间盘突出症失误分析-现代医学

后路腰椎间盘镜手术治疗腰椎间盘突出症失误分析

作者：孙长根

单位：江苏省建湖人民医院

分类号：

出版年·卷·期（页码）：2011·39·第二期（159-161）

摘要：

后路腰椎间盘镜手术治疗腰椎间盘突出症失误分析孙长根王健 (江苏省建湖县人民医院骨科,224700) [摘要]目的：分析后路第二代腰椎间盘镜手术治疗腰椎间盘突出症失误的主要因素。方法：通过对临床资料和X线片、CT、MR等影响资料的分析，回顾性分析126例后路腰椎间盘镜手术4例失误病例。结果：4例中1例手术前诊断不全面，1例高龄、伴椎间盘钙化，椎管狭窄，适应证选择不当。1例手术中椎管狭窄神经通道减压不充分，1例双间隙突出，对髓核摘除不够，对突出间隙神经根管外口减压不够。结论：腰椎间盘突出症后路椎间盘镜手术失误主要是手术适应证选择不当和手术技术失误。 [关键词] 腰椎间盘突出症；椎间盘镜；手术治疗；失误

Lapsus of Microendoscopic Discectomy for Lumbar Disc Herniation ( SUN Changgen,WANG Jian ) [Abstract]Objective:To describle and discuss the causes for lapsus of the primary operation for lumbar disc herniation with using METRx Ⅱ.Method:Clinical data and image data of 126 patients(76 men,50 female) who have underwent posterior microendoscopic discectomy(MED) were collected for retrospective study.4 patients with unsatisfied curative effect were selected and analysised.Results:The reasons accounted for the lapusus of primary MED in 4 cases were found as follows:1 case with inaccurate diagnosis,1 case with eld and calcification of posterior margin of lumbar disc,1 case with inappropriate indication,and 1 case with double-levels lumbar disc herniation and incomplete decompression.Conclusion:The main lapsus of MED were inappropriate surgical indication and inexperience surgical technology. [Key word]Lumbar disc herniation,Microendoscopy,Surgical therapy,Lapsus [Author's adress] Department of Orthopaedics,People's Hospital of Jianhu Country,224700,Jiangsu Province,China

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