Kardaun J W, White L R, Shaffer W O
Epidemiology, Demography and Biometry Program, National Institute on Aging, Bethesda, Maryland.
J Spinal Disord. 1990 Mar;3(1):30-8.
The complications of surgical treatment for lumbar disc herniation (LDH) are important to know, but hard to measure because of their low incidence and varied pattern. Using data from the National Hospital Discharge Survey, which codes discharges and procedures according to the ICD-9-CM, we assessed acute complication rates for 3,289 surgically treated LDH patients and 4,025 nonoperative LDH patients, identifying complications from codiagnoses. The complication rates were significantly correlated with the postoperative length of stay and with the risk factors of obesity, hypertension, and diabetes. We found fewer instances of thrombophlebitis (0.3/1,000) and slightly lower mortality (0.9/1,000) than previously reported. Although the frequency of the cauda equina syndrome in the literature approximates our findings of 5/1,000, our data did not allow correction for the fraction of preexistent cauda equina syndromes. Our any-complication-rate is 3.7%. Even though LDH surgery is relatively safe, its complications should not be overlooked.
腰椎间盘突出症（LDH）手术治疗的并发症虽需了解，但因其发病率低且表现多样而难以衡量。利用国家医院出院调查的数据（该调查根据国际疾病分类第九版临床修订本（ICD - 9 - CM）对出院情况和手术进行编码），我们评估了3289例接受手术治疗的LDH患者和4025例非手术治疗的LDH患者的急性并发症发生率，并从联合诊断中识别并发症。并发症发生率与术后住院时间以及肥胖、高血压和糖尿病等风险因素显著相关。我们发现血栓性静脉炎的发生率（0.3/1000）低于先前报道，死亡率（0.9/1000）也略低。尽管文献中马尾综合征的发生率与我们所发现的5/1000相近，但我们的数据无法校正已存在的马尾综合征的比例。我们的任何并发症发生率为3.7%。尽管LDH手术相对安全，但其并发症不应被忽视。
