局解手术学杂志2017，Vol.26Issue(10)：746-749,4.DOI:10.11659/jjssx.09E017025
侧后路椎间孔镜手术相关并发症及预防措施
Occurrence and prevention of complications after percutaneous endoscopic lumbar discectomy
张良民 1刘明永 1范伟力 1刘鹏 1赵建华1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所医院脊柱外科,重庆400042
- 折叠
摘要
Abstract
Objective To analyze the occurrence of the complications after percutaneous endoscopic lumbar discectomy (PELD) for lumbar disc herniation or stenosis,and to reveal the effective prevention methods.Methods Retrospectively analyzed the clinical data of 568 cases who undertaken PELD,and all the related complications,possible causes,prevention and treatment methods were analyzed.Results There were 24 cases of complications occured in all the 568 cases treated with PELD,and the gross incidence rate was 4.23％,including 4 cases of dural laceration(0.70％),3 cases of hemorrhage of intravertebral vein plexus injury(0.53％),6 cases of postoperative wound pain (1.06％),8 cases of postoperative recurrence (1.41％),1 case with persistent symptoms after surgery (0.18％),2 cases of postoperative paresthesia(0.35％).Conclusion PELD is a minimally invasive surgery with high security and low incidence of complications.The effective preventions including careful decision-making,elaborate operation,and precise identification of the anatomical abnormality.关键词
腰椎间盘突出症/椎间孔镜/椎管减压/射频消融术/并发症Key words
protrusion of lumbar intervertebral disc/percutaneous endoscopic lumbar discectomy/spinal canal decompression/radiofrequency ablation/complication分类
医药卫生引用本文复制引用
张良民,刘明永,范伟力,刘鹏,赵建华..侧后路椎间孔镜手术相关并发症及预防措施[J].局解手术学杂志,2017,26(10):746-749,4.
