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\"腰椎间盘突出的并发症是什么

 

在日常生活工作中，我们经常听到腰椎间盘突出症，而且多数是白领，经常坐办公室的人，那么腰椎间盘突出能导致什么并发症呢？腰腿痛的主要原因就是腰椎间盘突出症，为骨科临床为多见的疾患之一。下面，找良医网带大家一起了解一下腰椎间盘突出的并发症：

 

1、腰椎骨赘形成

在退变椎间盘的相邻边缘多有骨赘发生，在椎间孔的骨赘和后纵韧带上的较大的骨赘可压迫神经根而出现腰椎间盘突出并发症。

 

2、退行性腰椎滑脱症

腰椎不稳和关节突骨关节炎是由于椎间盘突出和退变导致，这两者是退行腰椎滑脱症的主要原因，都会出现各种腰、腿症状同样是常见的腰椎间盘突出并发症之一。

 

3、黄韧带肥厚、钙化

这是比较常见的腰椎间盘突出并发症，黄韧带肥厚>1cm是慢性腰肌劳损所致，椎板间黄韧带肥厚可使椎管狭窄而压迫硬脊膜囊，关节囊部黄韧带肥厚可压迫神经根，产生类似椎间盘突出的征象。

 

4、后关节退变与骨质增生

腰腿痛病史较长的腰椎间盘突出并发症有后关节的退变和骨质增生。一方面表现为腰椎间盘突出及退变致椎间隙变窄、椎间盘松弛，另一方面表现为上关节突的骨质增生可使椎间孔进一步狭窄，增加神经根受压机会。

 

5、椎间盘变窄

在成人出现局限性的椎间盘高度变窄是由于髓核含水量的减少造成的。在腰椎间盘突出时可能加速其进展，椎间隙变窄又可造成后关节的半脱位、关节突过过度移位，引起侧隐窝和椎间孔狭窄，从而导致腰椎间盘突出并发症。

 

找良医网温馨提示：腰间盘突出一定要多运动，坐办公室人员也需要定时休息活动，预防是最好的治疗，不要等严重后，才去医院治疗，要防患于未然！


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腰椎间盘突出是很多人都不太注重的疾病，总以为这个症状是坐久了，或者一个姿势久了，活动活动就好，其实不是这样的，很多人在早期不注重腰椎间盘突出的存在，因此也耽误了治疗腰椎间盘突出的时间。其实，如果不早治疗，会引发很多并发症的，接下来，找良医网告诉您腰椎间盘突出的并发症有哪些：


\"腰椎盘间突出会导致什么并发症\"

1、神经损伤。腰椎间盘突出患者在手术中在硬膜外或硬膜内都有可能损伤神经根。因此，这是属于腰椎间盘突出的并发症之一。

 

2、脊柱不稳，也是属于腰椎间盘突出的并发症，部分腰椎间盘突出患者手术以后腿痛消失而腰痛持续存在。

 

3、 在术后，腰椎间盘突出患者的原有的神经痛和腰腿痛症状消失，5～14天后发生剧烈的腰痛伴臀部或下腹部抽痛和肌肉痉挛，不能翻身，痛苦很大。这也是一大腰椎间盘突出的并发症。

 

4、脏器损伤。腰椎间盘突出患者可出现血管损伤时可能伴有其他脏器损伤，如膀胱、输尿管或小肠等。

 

5、 腰椎间盘突出的并发症还表现在粘连与瘢痕。腰椎间盘突出患者的手术部位的神经根与椎板切除后硬脊膜的暴露部分常发生粘连与瘢痕，会留有腰痛或神经根放射痛。椎管后壁骨缺损处瘢痕组织增生、粘连导致术后再狭窄；血肿机化、粘连及钙化，往往导致神经根管再度狭窄。

 

找良医网温馨提示：如有身体不适，请及时就医！


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腰椎间盘突出症是一种常见的疾病，多发于久坐之人，或者长期一个姿势的人，那么，腰椎间盘突出症如果不及时治疗，或者治疗效果不好的话，都会引发很多并发症的出现，找良医网在这里带大家一起了解一下：


\"腰椎盘脱出的并发症有什么\"

1、脑脊液瘘或脊膜假性囊肿：脑脊液瘘多在术后第3～4天时发生；硬脊膜假性囊肿多在术后几个月内出现腰腿痛，在手术疤痕处或腰骶部有球形囊样物与硬膜粘连。压迫囊样肿物，可引起坐骨神经痛。

 

2、大血管损伤。最常见的是经后路手术时损伤腹后壁大的血管损伤。

　　

3、感染。术后可见手术切口感染还可能发生椎间隙感染。主要表现为原有的神经痛和腰腿痛症状消失，5～14天后发生剧烈的腰痛伴臀部或下腹部抽痛和肌肉痉挛，不能翻身，痛苦很大。

 

4、脏器损伤。血管损伤时可能伴有其他脏器损伤，如膀胱、输尿管或小肠等这些都是腰椎间盘突出的并发症。

 

5、粘连与瘢痕。手术部位的神经根与椎板切除后硬脊膜的暴露部分常发生粘连与瘢痕，会留有腰痛或神经根放射痛。椎管后壁骨缺损处瘢痕组织增生、粘连导致术后再狭窄;血肿机化、粘连及钙化，往往导致神经根管再度狭窄。

 

找良医网温馨提示：如有身体不适，请及时就医！

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在各类疾病中，手术一比较大的一种修复手段，但是，不一定所有的手术都会一帆风顺，如果不能较好的完善，就会出现很多并发症，比如腰椎间盘突出症的椎间盘摘除手术，这是一种开展时间较长，疗效较为肯定的手术。但即使如此，手术过程中及术后，还是可能出现一些并发症，找良医网告诉您：


\"腰椎间盘脱出症有什么常见的并发症\"

1、感染：腰椎间盘突出手术的并发症之一就是感染。腰椎间盘摘除手术除可能并发手术切口感染外还可能发生椎间隙感染。

 

2、神经损伤：在腰椎周围有很多神经，所以，手术中在硬膜外或硬膜内都有可能损伤神经根，造成神经损伤的危害。

 

3、大血管损伤：最常见的是经后路手术时损伤腹后壁大的血管。

 

4、粘连与瘢痕：手术部位的神经根与椎板切除后硬脊膜的暴露部分常发生粘连与瘢痕，会留有腰痛或神经根放射痛。

 

5、脊柱不稳：部分病人术后腿痛消失而腰痛持续存在，拍腰椎功能性运动X线片时，有明显的脊柱异常活动。

 

6、脏器损伤：血管损伤时可能伴有其他脏器损伤，如膀胱、输尿管或小肠等。一旦发现应立即剖腹探查，及时修补受损脏器，以免发生腹膜炎。这也是腰椎间盘突出手术的并发症。

 

找良医网温馨提示：如有身体不适，请及时就医！

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\"腰椎间盘突出有哪些并发疾病\"

可发生以下并发症：

 

　　本病的退变过程先从关节软骨开始，由表层关节软骨改变进行性延及关节软骨全层。随生物化学的改变，出现对压力和张力承受能力降低，大量纤维组织形成，深部劈开碎裂，最后软骨完全侵蚀，软骨下骨外露。与软骨表面早期改变的同时软骨下骨血管增多，血管深达钙化层，穿透病灶。由于关节软骨被侵蚀，软骨下板层骨及其相邻骨小梁增厚和变粗。在病理改变上主要是表现为局灶性关节软骨的退行性变，软骨下骨质硬化，边缘性骨软骨骨赘形成和关节畸形。临床上表现为反复发作性疼痛，渗出性滑膜炎、关节僵硬和进行性活动受限。

 


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