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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

04

期数:

2004年4期

页码:

314-315

栏目:

出版日期:

2004-04-30

文章信息/Info

Title:

MED system for lumbar spinal stenosis in elderly patients: Postoperative complications and cause analysis for its dissatisfactory effects

作者:

徐超

河南省商丘市第一人民医院骨科,商丘,476100

Author(s):

Xu Chao.

Department ofOrthopaedics,Shangqiu First People’sHospital,Shangqiu476100,China

关键词:

腰椎管狭窄症; 椎间盘镜; 并发症

Keywords:

Lumbar spinal stenosis; 　Microendoscope; 　Complication

分类号:

R681.533.2

文献标志码:

A

摘要:

目的探讨显微内镜后路椎间盘手术系统(MED)治疗老年腰椎管狭窄症术后并发症及疗效不满意的预防措施. 方法对MED治疗的62例患者术后出现的并发症及疗效不满意的原因和处理进行回顾性分析. 结果 62例均获随访 3～40个月,平均16个月.优良率87.1%(54/62).并发症4 例(6.45%),其中椎间隙感染1例,马尾神经损伤 1例,健肢症状2例;症状无明显改善4例. 结论严格掌握手术适应证,充分处理合并症,熟练掌握腰椎手术技巧是减少MED并发症的关键.

Abstract:

Objective　To investigate the measures for the prevention of postoperative complications and dissatisfactory effects of posterior approach microendoscopic discectomy (MED) in the treatment of lumbar spinal stenosis in elderly patients.　Methods　A retrospective analysiswas made on complications and causes of dissatisfactory effects followingMED procedure in 62 cases.　ResultsFollow- up observations in all the 62 cases for 3 ~ 40 months (mean,16 months) showed a“good”or“excellent”rate of 87·1% (54/62). Complications occurred in 4 cases (6·45%),including 1 case of interspace infection,1 case of injuries on cauda equine,and 2 cases of symptomatic healthy limbs; there was little symptomatic improvement in 4 cases.　Conclusions　Strictly-controlled indications for surgery, appropriate treatment of complications,and skillful surgical performance is the key to minimize the complications of MED.

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更新日期/Last Update: 2014-06-09