【摘要】 目的 对影响腰椎间盘突出症手术疗效的因素进行分析，为提高手术疗效提供对策。 方法 68例行再手术患者术前体检、影像学检查和手术探查。 结果 影响手术疗效的因素主要有:(1)原椎间盘突出复发或邻近椎间盘突出。(2)椎管狭窄未减压或减压不彻底。(3)瘢痕粘连压迫硬膜囊及神经根。(4)手术间隙错误。 结论 影响腰椎间盘突出症手术疗效的因素较多，多为医源性，手术中细致操作，尽量取净髓核，彻底减压，准确定位，术后良好的康复锻炼是提高手术疗效的主要对策。

    关键词 腰椎间盘突出症 手术疗效 因素

    The analysis of the operation curative effect of protrusion of the lumbar intervertebral disc and of the countermeasure

    Tang Zhengxue，Feng Huimin，Su Shile，et al.

    Department of Orthopedics，the149th Hospital of PLA，Lianyungang222042.

    【Abstract】 Objective To analyse the factor which influences the operation curative effect of protrusion of the lumbar intervertebral disc，offer the countermeasure for improving the curative effect of operation.Methods 68cases were performed the operation again and carried out physical examination，image check and operative exploration.Re-sults The factor influencing curative of operation is:(1)The prolapsed intervertebral disc of orginal recurs or near the prolapsed interverbral disc.(2)The vertebral canal has reduced pressure or reduced pressure narrowly completely.(3)The scar adhesion comppresses the dural vesicle and neural root.(4)Interval mistake of operation.Conclusion Cura-tive effect factor more ......