![[의학실습]Herniated intevertebral disc-1](http://images.happyhaksul.com/thumb/464/463854-0001.gif)
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![[의학실습]Herniated intevertebral disc-4](http://images.happyhaksul.com/thumb/464/463854-0004.gif)
![[의학실습]Herniated intevertebral disc-5](http://images.happyhaksul.com/thumb/464/463854-0005.gif)
![[의학실습]Herniated intevertebral disc-6](http://images.happyhaksul.com/thumb/464/463854-0006.gif)
분야
hwp2. Radiologic study
3. Diagnosis
4. 향 후 Plan & 보호자에게 말해 줄 수 있는 Complication
5. Operation (2010. 02.24)
6. 경과
7. 환자의 지금 상태
Topic
Herniated intevertebral disc
2. Radiologic study
2009.11.26 scot nevi 5/30
[외부병원영상] axial view L4-5 lv.에서 posterolateral bulging disc 소견->L5이하 영향
3. Diagnosis
HIVD L4~L5, L5~S1
4. 향 후 Plan & 보호자에게 말해 줄 수 있는 Complication
Plan : preOP. evaluation
pain control
OP
Complication : 수술 후 재발빈도 5% (디스크를 남겨둬야하므로)
수술 후 합병증: 신경손상 (요통 하지통 하지감각이상 대소변장애 다리힘저하)
출혈, 염증, 뇌척수액 누수, 유착에 의한 신경통증
5. Operation (2010. 02.24)
1) Preop Dx. : HLD L4~L5, L5~S1 Lt.
2) Postop Dx. : HLD L4~L5, L5~S1 Lt.
3) Name of OP: Partial Hemi Laminectomy with microscopic discectomy L4-5,L5-S1,Lt.
Operation (2010. 03.11)
1) Preop Dx. : Lumbar HIVD
2) Postop Dx. : Lumbar HIVD
3) Name of OP: Wound revision & Hemilaminectomy, facetomy
6.경과
