张树芳,鲁凯伍,江建明.经皮内窥镜下腰椎间盘切除术治疗腰椎间盘突出症的并发症[J].中国脊柱脊髓杂志,2012,(4):297-301. |
经皮内窥镜下腰椎间盘切除术治疗腰椎间盘突出症的并发症 |
中文关键词: 经皮内窥镜下腰椎间盘切除术 并发症 腰椎间盘突出症 |
中文摘要: |
【摘要】 目的:回顾性分析经皮内窥镜下腰椎间盘切除术(percutaneous endoscopic lumbar discectomy,PELD)治疗腰椎间盘突出症的并发症及其相关因素。方法:自2006年3月~2010年10月共行经皮内窥镜下腰椎间盘切除术治疗162例腰椎间盘突出症患者,男82例,女80例;年龄21~71岁,平均36.5岁。统计术中、术后早期及术后长期并发症的发生情况。结果:162例患者均获得3~60个月的随访,平均随访30个月。本组患者出现手术并发症共12例,发生率为7.2%。术中发生并发症4例,其中节段定位错误1例,术中活动出血1例,硬膜囊损伤1例,钬激光器械金属头部断裂1例;术后早期发生并发症5例,其中髓核遗漏2例,椎间隙感染1例,神经感觉异常2例;术后中长期并发症3例,2例为同节段椎间盘突出复发,术后遗留活动后明显慢性腰部疼痛1例。结论:经皮内窥镜下腰椎间盘切除术治疗腰椎间盘突出症有一定的并发症,术者的手术经验及技巧、术前准备与术后处理、手术适应证的选择与手术并发症有关。 |
The clinical analysis of the complications of percutaneous endoscopic lumbar discectomy for lumbar disc herniation |
英文关键词:Percutaneous endoscopic lumbar discectomy Complication Lumbar disc herniation |
英文摘要: |
【Abstract】 Objectives: To analyze the complications and reasons of percutaneous endscopic lumbar discectomy (PELD) for lumbar disc herniation(LDH). Methods: From March 2006 to October 2010, a total of 162 patients underwent PELD for LDH in our hospital. There were 82 males and 80 females, with a mean age of 36.5 years (range 21-71 years). The complications in intraoperative period and at early or long-middle term in post-operative period were observed. Results: The mean follow-up period was 30 months(range 3-60 months). The total incidence rate of operative complications was 7.2%. There were 4 patients with intraoperative complications: Wrong localization was in 1 patient, Bleeding was in 1 patient, Dural tear was in 1 patient, the head of small laser equipment was broken in 1 patient. There were 5 patients with early postoperative complications, including 1 patient with infection of intervertebral disc and 2 patients had nerve root paraesthesia, 2 patients with nucleus remain. There were 3 patients with medium-term complications after surgery including 2 patients had recurrent herniations at same level, 1 patient had chronic mobile back pain after surgery. Conclusions: Preoperative proper technical considerations, intraoperative skillful manipulation and the strict selection of the indication are the key point to decrease and prevent operative related complication of PELD. |
投稿时间:2011-06-15 修订日期:2011-07-28 |
DOI:10.3969/j.issn.1004-406X.2012.4.297.4 |
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