Stolke D, Sollmann W P, Seifert V
Neurosurgical Clinic, Medical School, Hanover, Germany.
Spine (Phila Pa 1976). 1989 Jan;14(1):56-9. doi: 10.1097/00007632-198901000-00011.
In a prospective study, 412 primary and 69 reoperations for herniated lumbar disc were observed and intra- and postoperative complications compiled. Only surgeons with the experience of more than 100 surgical procedures on lumbar discs entered this study. The complication rates of the micro- and macrosurgical techniques are compared. Intraoperative complications range from 7.8% in the microdiskectomies and 13.7% in the macrodiskectomies to 27.5% in the reoperations. Postoperative complications range from 1.4% in reoperation, 3.9% in the microdiskectomies up to 4.2% in the macrodiskectomies. The risk of complications correlates with the age of the patient and the operating time.
在一项前瞻性研究中，观察了412例初次腰椎间盘突出症手术和69例再次手术病例，并汇总了术中及术后并发症情况。只有具备超过100例腰椎间盘手术经验的外科医生才参与本研究。比较了显微手术和开放手术技术的并发症发生率。术中并发症发生率在显微椎间盘切除术为7.8%，开放椎间盘切除术为13.7%，再次手术为27.5%。术后并发症发生率在再次手术中为1.4%，显微椎间盘切除术中为3.9%，开放椎间盘切除术中为4.2%。并发症风险与患者年龄和手术时间相关。
