[摘要] 目的 分析29例后路腰椎间盘突出症术后疗效欠佳的原因。方法 对我院1988年4月～2004年7月的29例腰椎间盘突出症术后疗效不佳病例追踪随访，结合在院手术等治疗情况进行分析总结。结果 主要原因由于手术指征选择不当2例，术式选择不当5例，术中操作15例，合并症未确切处理6例，原因不明1例。结论 腰椎间盘突出症术后疗效欠佳原因与下列因素有关：(1)病例的选择；(2)术式的决定；(3)术中操作；(4)合并症是否确切处理等。腰椎间盘手术不能轻视，严格掌握手术指征、选好术式、认真细致的手术操作、处理好合并症是提高术后疗效的关键。

     [关键词] 椎间盘切除；治疗结果

    Analysis on reason of poor postoperative effects of herniated lumber disc

    LIANG Jia-long,YAN Fei,WANG Zhong-yuan,et al.Department of Orthopedics,The People’s Hospital of Qiannan Aatonomous Prefecture for Buyi and Miao Nationalities,Duyun 558000,China

    [Abstract] Objective To analyse the reason of poor pastoperational effect in 29 cases of herniated lumber disc.Methods To follow-up the postoperational herniated lumber disc cases of poor effect,and to analyse by combining the conditions of operation,etc.Results The main reasons are 2 cases are not appropriate to choose patients,5 cases are not appropriate to choose the operative mothed,15 cases are the action of operation,6 cases are not right to dispose,and one case is not clear.Conclusion The poor effect lie in the following reasons:the choosing of patient,the resolution of operative method,the action of operation,the disposation of complications,etc.The operation of herniated lumber disc can not dispise,should resolute the approperiate patients and the method of operation,atc the operation carefully and serious,and deal with the complication rightly.These are the key of enhancing efficiency of therapy. ......