Lynch A F, Dickson R A
J Bone Joint Surg Br. 1983 May;65(3):259-61. doi: 10.1302/0301-620X.65B3.6841392.
This paper describes the relationship between post-myelographic symptoms and the timing of a subsequent spinal operation. A prospective study was performed comparing the post-operative symptoms of patients who underwent discectomy within 48 hours of myelography (Group 1) with those of patients who underwent discectomy at least seven days after myelography (Group 2). After myelography there was no statistical difference in the incidence of nausea and headache in the two groups. However, after operation the incidence of headache and nausea was significantly greater in patients who underwent early discectomy. The incidence of urinary retention was significantly greater in Group 1 at 24 hours after operation but not at 48 and 72 hours. We conclude that the temptation to perform discectomy shortly after myelography should be resisted until at least one week has elapsed between the two procedures, except in emergency situations.
本文描述了脊髓造影术后症状与后续脊柱手术时机之间的关系。进行了一项前瞻性研究，比较了在脊髓造影后48小时内接受椎间盘切除术的患者（第1组）与在脊髓造影后至少7天接受椎间盘切除术的患者（第2组）的术后症状。脊髓造影后，两组恶心和头痛的发生率无统计学差异。然而，手术后，早期接受椎间盘切除术的患者头痛和恶心的发生率明显更高。第1组术后24小时尿潴留的发生率明显更高，但在48小时和72小时时并非如此。我们得出结论，除紧急情况外，在脊髓造影后至少一周过去之前，应避免在脊髓造影后不久进行椎间盘切除术。
