中国临床保健杂志2018，Vol.21Issue(1)：120-122,3.DOI:10.3969/J.issn.1672-6790.2018.01.034
经皮椎间孔镜下行腰椎间盘摘除术并发症的相关分析及其预防处理
Correlation analysis and preventive measures of complications of lumbar intervertebral disc herniation treated with percutaneous endoscopic lumbar discectomy
摘要
Abstract
Objective To explore the relevant factors,prevention and treatments of the complications of lum-bar intervertebral disc herniation treated with percutaneous endoscopic lumbar discectomy.Methods 105 cases of lum-bar intervertebral disc herniation underwent percutaneous endoscopic lumbar discectomy were enrolled as research sub -jects.The complications were observed and the relevant fators were analysed.Results There were 8 complications (7.62%)in 105 cases.Among them,2 cases had nerve injury(1.90%),1 case had dural tear(0.95%),1 case had Intervertebral disc inflammation(0.95%),3 cases had local hemorrhage(2.86%)and 1 case had postoperative recur-rence(0.95%).Person correlation analysis showed that the incidence of complications were positively correlated with the operative time,the extent of tissue injury(r=0.528,r=0.823,P<0.05)and negatively correlated with the surgeon experience,the postoperative monitoring time(r=-0.319,r=-0.479,P<0.05).Conclusion There is a risk of complications of lumbar interverteral disc herniation treated with percutaneous endoscopic lumbar discectomy and there are many relevant factors.Therefore,we should grasp the indications strictly,master the operation skillfully,reduce the intraoperative injury,shorten the operation time and do well in the prognosis and treatments of complications.关键词
椎间盘切除术,经皮/内窥镜检查/副作用Key words
Diskectomy/percutaneous/Endoscopy/adverse effects分类
医药卫生引用本文复制引用
闫志刚,施建锋,刘壮,刘松洋..经皮椎间孔镜下行腰椎间盘摘除术并发症的相关分析及其预防处理[J].中国临床保健杂志,2018,21(1):120-122,3.基金项目
北京市东城区科学技术委员会资助项目(2017-5-005) （2017-5-005）
