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《Chongqing Medicine》 2017-15
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A retrospective study of posterior lumbar disc herniation

Chen Zhi;Cai Ming;Department of Orthopedics,Chongqing Traditional Chinese Medicine Hospital;  
Objective To study the effect of different therapies for posterior lumbar disc herniation.Methods A total of8 000 patients with lumbar disc posterior surgery were enrolled in this research at our hospital.The technical points of the patients in different times were analysed.The results of the operation were observed.Results From January 1980 to December 1990,patients underwent laminectomy.From January 1991 to December 2000,patients were treated with laminectomy and semi-lamina.From January 2001 to December 2016,the open window accounted for 86.0%,expanding the window or semi-lamina accounted for11.0%,and the whole laminar plate only accounted for 3.0%.After 2000,the accuracy of the diagnosis was 98.0%,the excellent rate of operation was 99.8%,the average operation time was(80±15)min,and the blood loss was(100±20)mL.Among them,the rate of I/A healing was 99.8%,dural tear rate was 4.0%,nerve root injury rate was 0.5%,and cerebrospinal fluid leakage rate was0.9%.The incidence of complications in the cases after 2000 was significantly lower.Conclusion By summarizing the operation technique of posterior lumbar disc herniation,the operation error can be avoided and the incidence of complications of surgical injury can be reduced.
【CateGory Index】: R687.3
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