Leung P C
Chinese University of Hong Kong, Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, N.T.
J Spinal Disord. 1988;1(4):306-10. doi: 10.1097/00002517-198800140-00005.
From 1984 to 1986, a single surgeon treated 40 patients suffering from lumbar disc herniation by the technique of microdiscectomy. While the advantages of working under magnification are endorsed, the complications encountered are analysed with the aim of giving warning to surgeons keen to start the technique. The complications included intraoperative dural tears (two cases), discitis (two cases), and recurrence of back pain (two cases). The intraoperative dural damage did not require specific treatment, while the patients with discitis responded readily with antibiotics. The recurrent cases were found to be caused by adhesion bands produced by hanging tags of incompletely removed yellow ligament. It is therefore concluded that in microdiscectomy prophylactic antibiotics should be given and a complete removal of the yellow ligament on the side of surgery should be ensured to avoid infection and recurrent root impingement.
1984年至1986年期间，一位外科医生采用显微椎间盘切除术治疗了40例腰椎间盘突出症患者。虽然放大操作的优点得到认可，但对所遇到的并发症进行了分析，旨在向热衷于开展该技术的外科医生发出警示。并发症包括术中硬脊膜撕裂（2例）、椎间盘炎（2例）和背痛复发（2例）。术中硬脊膜损伤无需特殊治疗，而患椎间盘炎的患者使用抗生素后反应良好。发现复发病例是由未完全切除的黄韧带悬垂标签产生的粘连带所致。因此得出结论，在显微椎间盘切除术中应给予预防性抗生素，并确保在手术侧完全切除黄韧带，以避免感染和复发性神经根受压。
