镜下椎间盘切除纤维环缝合术后复发:1例报告和综述△（开放获取）

Recurrent disc herniation after endoscopic discectomy with annulus fibrosus suture: A case report and review

摘要:

纤维环缝合（annulus fibrosus suture, AFS） 是通过缝合的方式促进纤维环破口的闭合，加快纤维环的修复速度，从而降低椎间盘突出的复发率。本文报道1 例腰椎间盘突出症行镜下椎间盘切除AFS 术后复发的患者，对其病史、症状、临床表现、影像学资料、手术过程、翻修手术术中情况、术后恢复情况进行综述，对国内外文献进行复习，并对AFS 在降低复发率中的作用进行了探讨，旨在对AFS 的作用提供直观的认识。同时本文探讨了复发性腰椎间盘突出的高危因素，为腰椎间盘突出症术后复发患者的诊疗提供参考。

Abstract:

Annulus fibrosus suture (AFS) is to promote the closure of annulus fibrous rupture and accelerate its repair, so as to reducethe recurrence rate of intervertebral disc herniation. In this paper, we reported a patient who suffered from recurrent dis herniation after endo-scopic discectomy with AFS. The history, symptoms, clinical manifestations, imaging data, surgical process, intraoperative conditions of revi-sion surgery, and postoperative recovery were reviewed. In addition, the role of AFS in reducing the recurrence rate was also discussed in thispaper to put up an intuitive understanding of significance of AFS. Moreover, this paper also discussed the risk factors of recurrent lumbardisc herniation, and provides reference for the diagnosis and treatment of recurrent lumbar disc herniation after surgery.