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[腰椎间盘突出症复发的病因]

[Etiology of the recurrence of lumbar intervertebral disk displacement].

作者信息

Reith C, Lausberg G, Wildförster U

机构信息

Neurochirurgische Universitätsklinik am Knappschaftskrankenhaus Bochum-Langendreer.

出版信息

Neurochirurgia (Stuttg). 1989 Jan;32(1):5-9. doi: 10.1055/s-2008-1053992.

Abstract

In a review for reasons of 100 disc prolapses reoperations we found in 62% a recurrence of disc prolapse at the same level, in 24% a recurrence at a different level, whereas in 14% we found that the nerve route was closely connected. We reoperated 44% in the first two years and 69% in the first five years. The time between the operations was prolonged if there was a short period of time for relief of pain after operation and a long period of preoperative symptoms. The variables of risk of a disk prolapse recurrence are recorded in a risk score, in which 64% of the patients belonged retrospectively to a risk group. The correlation between operation interval and score points showed that patients with short interval had high score ratings.

摘要

在对100例椎间盘突出症再次手术原因的回顾中,我们发现62%在同一节段复发椎间盘突出,24%在不同节段复发,而14%发现神经路径紧密相连。我们在前两年进行再次手术的比例为44%,在前五年为69%。如果术后疼痛缓解时间短且术前症状持续时间长,则手术间隔时间会延长。椎间盘突出复发风险的变量记录在一个风险评分中,回顾性分析显示64%的患者属于风险组。手术间隔与评分之间的相关性表明,间隔时间短的患者评分较高。

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