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首页> 外文期刊>Patient Safety in Surgery >Incidence of early postoperative complications requiring surgical revision for recurrent lumbar disc herniation after spinal surgery: a retrospective observational study of 9,310 patients from the German Spine Register
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Incidence of early postoperative complications requiring surgical revision for recurrent lumbar disc herniation after spinal surgery: a retrospective observational study of 9,310 patients from the German Spine Register

机译：脊柱外科手术后复发性腰椎间盘突出症需要手术治疗的早期术后并发症的发生率：来自德国脊柱登记册的9,310例患者的回顾性观察研究

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摘要

The recurrence rate in lumbar disc herniations (LDH) has been reported between 5 and 25%. There are only few data about this phenomenon that occurs within days of the initial operation. We analyse early recurrent LDH by analysis of data from the German Spine register. Data from patients undergoing disc herniation surgery in the lumbar region were extracted from the German Spine Registry between 1st January 2012 and 31st December 2016. Patients with early recurrent LDH within days of initial surgery were separately analysed. A total of 9310 surgeries for LDH were documented in the German Spine Register. From these patients 115 (1.2%) presented an early recurrent disc surgeries within days of the initial surgery. The mean age was 70?±?2.50?years. Most affected segment was L4/5 (47 cases, 41%), followed by L3/4 (45 cases, 39%). The most of our patients showed a normal or overweight Body Mass Index. Surgery for early recurrent LDH was associated with a high rate of incidental durotomies (20 cases, 17.6%). In 3 cases (2.6%) therapy with a lumbar drain was necessary. The rate of early recurrent LDH within days of surgery is 1.2%. Age seems to be an important factor in early recurrent LDH while obesity does not. The data of the German Spine Register seems to have a reliable data collection system that can perform multicentre data analysis. The databases from this Register could be used in the future for various purposes, such as the evaluation of multicentre surgical techniques, results in patients with various surgical procedures and basic research in spine surgery.
机译：腰椎间盘突出症（LDH）的复发率据报道在5％至25％之间。在初始操作的几天之内，关于此现象的数据很少。我们通过分析来自德国脊柱寄存器的数据来分析早期复发的LDH。在2012年1月1日至2016年12月31日期间，从德国脊柱注册处提取了腰椎间盘突出症手术患者的数据。对初次手术后几天内早期LDH复发的患者进行了单独分析。德国脊柱登记簿记录了总计9310例LDH手术。这些患者中有115名（1.2％）在初次手术后的几天内出现了早期的反复椎间盘手术。平均年龄为70±2.50岁。受影响最大的部分是L4 / 5（47例，41％），其次是L3 / 4（45例，39％）。我们大多数患者的体重指数正常或超重。早期复发LDH的手术与高位偶然性结直肠切除术相关（20例，17.6％）。在3例（2.6％）的情况下，必须进行腰椎引流​​治疗。手术后几天内早期LDH的复发率为1.2％。年龄似乎是LDH早期复发的重要因素，而肥胖则不然。德国脊柱登记簿的数据似乎有一个可靠的数据收集系统，可以执行多中心数据分析。该寄存器中的数据库将来可用于多种目的，例如评估多中心手术技术，采用各种手术程序的患者的结果以及脊柱手术的基础研究。

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