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| ZHANG Shufang,LU Kaiwu,JIANG Jianming.The clinical analysis of the complications of percutaneous endoscopic lumbar discectomy for lumbar disc herniation[J].Chinese Journal of Spine and Spinal Cord,2012,(4):297-301. |
| The clinical analysis of the complications of percutaneous endoscopic lumbar discectomy for lumbar disc herniation |
| Received:June 15, 2011 Revised:July 28, 2011 |
| English Keywords:Percutaneous endoscopic lumbar discectomy Complication Lumbar disc herniation |
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| English Abstract: |
| 【Abstract】 Objectives: To analyze the complications and reasons of percutaneous endscopic lumbar discectomy (PELD) for lumbar disc herniation(LDH). Methods: From March 2006 to October 2010, a total of 162 patients underwent PELD for LDH in our hospital. There were 82 males and 80 females, with a mean age of 36.5 years (range 21-71 years). The complications in intraoperative period and at early or long-middle term in post-operative period were observed. Results: The mean follow-up period was 30 months(range 3-60 months). The total incidence rate of operative complications was 7.2%. There were 4 patients with intraoperative complications: Wrong localization was in 1 patient, Bleeding was in 1 patient, Dural tear was in 1 patient, the head of small laser equipment was broken in 1 patient. There were 5 patients with early postoperative complications, including 1 patient with infection of intervertebral disc and 2 patients had nerve root paraesthesia, 2 patients with nucleus remain. There were 3 patients with medium-term complications after surgery including 2 patients had recurrent herniations at same level, 1 patient had chronic mobile back pain after surgery. Conclusions: Preoperative proper technical considerations, intraoperative skillful manipulation and the strict selection of the indication are the key point to decrease and prevent operative related complication of PELD. |
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