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首页> 外文期刊>The Egyptian Journal of Neurology, Psychiatry and Neurosurgery >Results of Lumbar Discectomy in Patients with Recurrent Disc Herniation Compared to Patients with Primary Disc Herniation
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Results of Lumbar Discectomy in Patients with Recurrent Disc Herniation Compared to Patients with Primary Disc Herniation

机译：复发性椎间盘突出症患者与原发性椎间盘突出症患者腰椎间盘切除术的结果

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  Background: Recurrent herniation represents major cause of failure after surgery for a herniated lumbar disc. Objective: To assess the clinical results in patients undergoing surgery for recurrent disc herniation with those after primary discectomy. Methods: Prospective analytic study was carried out Between March, 2008 and December 2010, 32 patients who underwent surgery for recurrent disc at the same level were analyzed for outcome (group I). Hundred patients who had surgery for primary disc during the same period was included as control (group 2). Results: In 52% of group1 radicular pain related to a precipitating event, but none of the group2 (p0.001). T2-weighted MRI performed before primary discectomy showed that patients in the group1 had severe disc degeneration compared with the group2 (p=0.02). At 2-year follow-up, the clinical outcome was satisfactory in 87.5% patients in Group1 and in 90% in Group2 (p0.05). Twenty four patients in Group1 (75%) and 84 in Group2 had returned to their work and daily activities (p0.05). Radicular pain was improved in both groups at the 6-month and 2-year follow-ups. At 6-month follow-up, low back pain improved only in the patients in Group 2. While after 2 years it improved in both groups. Conclusions: Clinical results in patients for recurrent lumbar disc herniation comparable with those after primary discectomy: the improvement the low back pain and radicular pain reported by the majority of patients 2 years after reoperation. [Egypt J Neurol Psychiat Neurosurg.  2012; 49(4): 335-340]
机译：背景：复发性疝是腰椎间盘突出症手术后失败的主要原因。目的：评估复发性椎间盘突出症手术患者与原发性椎间盘切除术后患者的临床效果。方法：对2008年3月至2010年12月之间进行的前瞻性分析研究，对32例接受相同水平的复发性椎间盘手术的患者进行了结局分析（I组）。同期纳入接受原发性椎间盘手术的百例患者作为对照组（第2组）。结果：在第1组中有52％的神经痛与降水事件有关，但第2组均无（p <0.001）。在原发性椎间盘切除术之前进行的T2加权MRI显示，与组2相比，组1中的患者发生严重的椎间盘退变（p = 0.02）。在2年的随访中，第1组的87.5％的患者和第2组的90％的患者的临床结果令人满意（p> 0.05）。第一组的24名患者（75％）和第二组的84名患者恢复了工作和日常活动（p> 0.05）。在6个月和2年的随访中，两组的神经根疼痛均得到改善。在6个月的随访中，仅第2组患者的腰痛得到改善，而2年后两组均得到改善。结论：复发性腰椎间盘突出症患者的临床结果可与原发性椎间盘切除术相比：术后2年内大多数患者报告的腰痛和神经根痛得到改善。 [埃及J Neurol精神病神经外科。 2012; 49（4）：335-340]

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