TY -的A2 -王,彭回族非盟- Klessinger Stephan PY - 2018 DA - 2018/10/09 TI -频率Resurgery经皮腰椎手术后在十年期间使用Dekompressor SP - 5286760六世- 2018 AB -防止开放手术,微创技术,如Dekompressor (PLDD),已经开发出来。没有再疝是腰椎手术后临床成功的一个重要因素。在这项回顾性观察研究中，我们对长时间的PLDD后额外开放性手术的频率进行了回顾性研究。评估临床症状与预后之间的相关性，并分析PLDD与开放手术之间的时间。包括2005年至2007年间连续发生PLDD的患者。MacNab结果标准用于评估患者满意度。分析腰椎额外开放手术的需要、减压和手术之间的时间以及治疗水平。本研究共纳入73例患者。患者在PLDD后一个月就诊。大多数患者(76.7%)有额外的神经根疼痛。 The most common level treated was L4-5 (58.9%). The follow-up time was longer than 5 years in 30.1% of the patients and longer than 10 years in 6.82%. The short-term success rate was 67.1%. Additional surgery was performed in 26.0% of patients, with 78.9% of the reoperations undertaken during the first year after PLDD. These patients had a statistically significant worse outcome (P = 0.025). Radicular pain was present in all patients with an early subsequent surgery, but only in 50% of patients with late surgery (P = 0.035). Significantly more patients with poor pain relief had radicular pain (P = 0.04). The short-term success rate was worsened by a resurgery rate of 26.0%. Subsequent surgery, a short time after PLDD, suggests that PLDD is not a replacement for open discectomy. Because patients with radicular pain had a worse outcome and more frequent resurgeries, whether radicular pain is an ideal indication for PLDD should be discussed. SN - 2090-1445 UR - https://doi.org/10.1155/2018/5286760 DO - 10.1155/2018/5286760 JF - Minimally Invasive Surgery PB - Hindawi KW - ER -