WFU

2018年3月5日 星期一

脊椎手術失敗症候群


　　根據世界衛生組織的調查，每年約有15-45%不等的人口受下背痛所苦。僅只是英國，因為下背痛而直接與間接造成的經濟損失就超過 1 億英鎊（約 40 億台幣）。除了造成疼痛、肢體痠麻外，通常也會造成日常生活上的不便，因此許多人就選擇動手術來解決疼痛。
　　也許你會問『 為什麼 已經開刀”解決“脊椎壓迫，為什麼 還會 麻呢？』或『已經把出問題的關節 換 成人工關節，為什麼 還會 痛呢？』。這種症狀沒有改善或是手術後才出現疼痛等問題時，就會被稱為一一脊椎手術失敗症候群 （Failed Back Surgery Syndrome, FBSS )。


脊椎手術失敗症候群

　　目前對脊椎手術失敗症候群的定義是： 在開刀的位置或相關聯的區域有疼痛，不論是手術後才出現或原有背痛未改善的，就稱為脊椎手術失敗症候群。（ Lumbar spinal pain of unknown origin either persisting despite surgical intervention or appearing after surgical intervention for spinal pain originally in the same topographical location. ）
　　而隨著手術的種類和診斷的不同，發生率從 5-36 % 不等。可能原因包含手術的技術、診斷的精確 、手術成果上的落差和手術前的心理狀態等。值得一提的是，在此類型的人身上可以發現一個有趣的現象： 背痛問題 （ 特別是已經持續疼痛一段時間 ）單靠手術似乎是不夠的！


從手術前到開刀後......

　　從研究發現，慢性下背痛的人普遍有 對疼痛的過度反應和害怕活動 的問題。因此，除了手術前的疼痛教育與復健外，開刀後的動作訓練都是減少脊椎手術失敗症候群出現的方法！
　　而對於已經開過刀，仍然有背痛、痠麻等問題的人來說，能接受妥善的評估找出持續疼痛的原因，並採取對應的活動訓練 有助於 擺脫 持續性的疼痛或痠麻問題！



參考文獻

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