Johnston J D, Matheny J B
Spine (Phila Pa 1976). 1978 Mar;3(1):36-9. doi: 10.1097/00007632-197803000-00008.
The results of a long-term study of 28 patients operated on for adhesive lumbar arachnoiditis are presented. The technique involved was microscopic lysis of adhesions. The first case of surgery was performed in 1966 and the last, in 1970, with followup through 1976. Numerous observations are made regarding the clinical picture and the appearance of arachnoiditis at the time of surgery. Some conclusions are drawn regarding the causes of this condition with some emphasis on the role of Pantopaque, multiple surgeries, and other trauma. The conclusion is that surgical attack on arachnoiditis is a straightforward surgical exercise that, when carried out with appropriate caution, produces no further neurologic deficits and some short-term improvement. However, the authors feel that this procedure should not be performed at the present time because there does not appear to be a method for preventing the reaccumulation of the scar tissue and subsequent recurrence of the symptoms.
本文介绍了对28例因粘连性腰椎蛛网膜炎接受手术治疗患者的长期研究结果。所采用的技术是粘连的显微松解术。首例手术于1966年进行，最后一例于1970年进行，随访至1976年。针对手术时蛛网膜炎的临床表现和外观进行了大量观察。得出了关于该病症病因的一些结论，重点强调了碘苯酯、多次手术及其他创伤的作用。结论是，对蛛网膜炎进行手术是一种直接的外科操作，在适当谨慎操作时，不会产生进一步的神经功能缺损，且有一些短期改善。然而，作者认为目前不应进行该手术，因为似乎没有办法防止瘢痕组织再次积聚及症状随后复发。
