Recurrent lumbar disc herniation.
Recurrent lumbar disc herniation.
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DOI：
10.3171/foc.2003.15.3.10
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发表时间：
2003-09-15
影响因子：
4.1
通讯作者：
Trost, Gregory R
中科院分区：
文献类型：
--
作者：
Swartz, Karin R;Trost, Gregory R
复发性腰椎间盘突出症是一种常见的疾病过程。据指出，在原发性腰椎间盘突出症手术治疗的病例中，有 5% 至 15% 会发生这种情况。一系列的结果接近初次手术后的结果，尽管大多数外科医生的经验并非如此。去除复发性腰椎间盘突出症需要细致的手术技术。需要非常小心地识别先前手术部位的骨边缘。使用显微镜可以极大地帮助识别和解剖硬脑膜上的疤痕。
Recurrent lumbar disc herniation is a common disease process. It has been noted to occur in 5 to 15% of cases surgically treated for primary lumbar disc herniation. Outcomes in one series approached those after the initial operations, although this is not the case in the experience of most surgeons. The removal of recurrent lumbar disc herniations requires meticulous surgical technique. Great care is taken to identify the osseous margins of the previous surgical site. Identification and dissection of scar from the dura mater is greatly aided with the use of a microscope.