| 腰椎间盘镜手术并发症的分析 |
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Received:January 13, 2005
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| 作者 | Author | 单位 | Unit | E-Mail |
| 袁永健 |
YUAN Yong-jian |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
YYJ670511@yahoo. |
| 杨文龙 |
YANG Wen-long |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 王丹 |
WANG Dan |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 徐旭纯 |
XU Xu-chun |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 闵继康 |
MIN Ji-kang |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 施利华 |
SHI Li-hua |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 黄曙峰 |
HUANG Shu-feng |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 杨宏航 |
YANG Hong-hang |
湖州市第一医院骨科,浙江湖州313000 |
Department of Orthopaedics,the First Hospital of Huzhou,Huzhou 313000,Zhejiang,China |
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| 期刊信息：《中国骨伤》2005年18卷，第10期，第591-592页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的:探讨腰椎间盘镜手术并发症的原因及治疗。
方法:2000年8月-2004年5月用SOFAMOR DANEK公司METRX椎间盘镜治疗腰椎间盘突出症162例,对其临床结果进行回顾性分析。
结果:出现并发症10例硬脊膜撕裂6例,神经根断裂1例,马尾神经损伤1例,椎间隙感染1例,腰背骶脊肌抽搐1例。治疗后1例神经断裂随访23个月未见明显好转,1例马尾神经损伤随访9个月有所好转,但大小便仍不能控制。
结论:椎间盘镜治疗腰椎间盘突出具有切口小、创伤小、恢复快等优点;手术操作必须规范、熟悉解剖,避免神经损伤等并发症发生。 |
| [关键词]:椎间盘移位 内窥镜 椎间盘切除术 并发症 |
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| Analysis on the complication induced by microscopic discectomy |
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Abstract:
Objective: To explore the complication and its cause induced by microscopic discectomy in the treatment of lumbar intervertebral disc herniation.
Methods:162 patients with lumbar intervertebral disc herniation were treated with METRX microscope of SOFAMOR DANEK company from August 2000 to February 2004.Clinical results of all the patients were retrospectively analyzed.
Results:The complications occurred in 10 cases,of them,6 cases with dural laceration,1 case with broken nerve root,1 case with injury of cauda equina,1 case with infection of intervertebral space and 1 case with tic of sacrum muscle.The case of neurotmesis was not obviously improved after treatment and the case with injury of cauda equina was obviously improved.
Conclusion:Microscopic discectomy has advantages including little trauma and fast recovery in the treatment of lumbar intervertebral disc herniation,which were supported by a normatively surgical operation and very good knowledge on dissection. |
| KEYWORDS:Intervertebral disk displacement Endoscope Discectomy Complication |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 袁永健,杨文龙,王丹,徐旭纯,闵继康,施利华,黄曙峰,杨宏航.腰椎间盘镜手术并发症的分析[J].中国骨伤,2005,18(10):591~592 |
| 英文格式: | YUAN Yong-jian,YANG Wen-long,WANG Dan,XU Xu-chun,MIN Ji-kang,SHI Li-hua,HUANG Shu-feng,YANG Hong-hang.Analysis on the complication induced by microscopic discectomy[J].zhongguo gu shang / China J Orthop Trauma ,2005,18(10):591~592 |
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