Xiao Ying, Zou Guo-yao, Tang Zhi-hong, Xiao Rong-chi, Yan Dong-xue, Zhang Si-rong
Department of Spinal Bone Disease Surgery, Affiliated Hospital to Guilin Medical College, Guangxi, China.
Zhongguo Gu Shang. 2011 Oct;24(10):831-3.
To analyze the problems and complications of posterior discectomy for lumbar disc herniation.
From January 2005 to June 2010, 497 patients with lumbar disc herniation were treated by posterior discectomy, which data were analyzed retrospectively. There were 395 males and 102 females,ranging in age from 20 to 78 years with an average of 43.7 years. Among them, 405 cases were in single gap, 86 cases were in double gaps and 6 cases were in three gaps. The complication of operation and solution was analyzed.
The mean operative time was 70 min (from 45 to 210 min), and the mean hospitalization was 10 d (from 5 to 20 d). Forty-seven cases suffered operative complications. There were 16 cases of wrong location of segments (14 cases occurred in operation and 2 occurred after operation), 15 cases of less alleviation or aggravation of nerve symptoms (12 cases were poor alleviation and 3 cases were aggravation), 10 cases of urinary retention, 5 cases of cerebrospinal fluid leakage and 1 case of infection.
Minimally invasive process of posterior discectomy in treating lumbar disc herniation may complicate with many problems. The operative effects can be improved and the complication can be decreased if the ability of location is improved,surgical indications is correct and the operation is exactly performed.
分析腰椎间盘突出症后路椎间盘切除术的问题及并发症。
回顾性分析2005年1月至2010年6月采用后路椎间盘切除术治疗的497例腰椎间盘突出症患者的资料。其中男性395例，女性102例，年龄20～78岁，平均43.7岁。单节段405例，双节段86例，三节段6例。分析手术并发症及处理方法。
平均手术时间70分钟（45～210分钟），平均住院时间10天（5～20天）。47例发生手术并发症。节段定位错误16例（术中14例，术后2例），神经症状缓解不佳或加重15例（缓解差12例，加重3例），尿潴留10例，脑脊液漏5例，感染1例。
后路椎间盘切除术治疗腰椎间盘突出症的微创过程可能会出现许多问题。提高定位能力、正确把握手术适应证并精确操作手术，可提高手术效果并减少并发症。
