腰椎间盘突出后路手术的回顾性研究

发布时间：2018-06-09 13:04

本文选题：腰椎间盘 + 手术　；参考：《重庆医学》2017年15期

【摘要】：目的探讨不同腰椎间盘突出后路手术的手术效果。方法选择该院收治的8 000余例腰椎间盘突出后路手术患者进行研究,对不同时期患者采用术式的技术要点进行分类,并观察术式实施结果。结果 1980年1月至1990年12月患者采用全椎板术式;1991年1月至2000年12月患者采用全椎板、半椎板;2001年1月至2012年12月患者术式中开窗式占86.0%,扩大开窗式或半椎板占11.0%,全椎板仅为3.0%。2000年后病例诊断准确率98.0%,手术后效果优良率99.8%,平均手术时间(80±15)min,失血量平均(100±20)mL。术后伤口10~12d拆线,Ⅰ/甲类愈合99.8%,硬脊膜撕裂率为4.0%,神经根损伤率为0.5%,脑脊液漏发生率为0.9%。2000年之后的病例中并发症发生率显著下降。结论总结腰椎间盘突出后路手术的操作技术要领,避免操作失误,可降低手术损伤并发症的发生率。
[Abstract]:Objective to investigate the effect of posterior operation on different lumbar disc herniation. Methods more than 8 000 patients with posterior lumbar disc herniation in our hospital were studied. The technical points of operation were classified in different periods and the results of operation were observed. Results from January 1980 to December 1990, patients were treated with total laminectomy, and patients with total lamina from January 1991 to December 2000 were treated with total laminectomy. From January 2001 to December 2012, 86.0 cases were treated with fenestration, 11.0 with enlarged fenestration or half lamina, 98.0 with accuracy of diagnosis in the whole lamina after 3.0.2000. The excellent and good rate of operation was 99.8, the average operation time was 80 卤15min, and the average blood loss was 100 卤20mL. After 10 ~ 12 days of operation, I / A healing was 99.8%, dural tear rate was 4.0, nerve root injury rate was 0.5, and the incidence of cerebrospinal fluid leakage was 0.9.2000 years after operation, the incidence of complications decreased significantly. Conclusion the operative technique of posterior lumbar disc herniation can be reduced by avoiding operation error.
【作者单位】：重庆市中医院骨二科;
【分类号】：R687.3

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