下腰段急性中央型巨大间盘突出症的手术治疗及疗效观察

目的 下腰段急性中央型巨大间盘突出压迫马尾神经导致双下肢截瘫的手术治疗及疗效观察。方 法 16例下腰段中央型急性巨大腰椎间盘突出患者,既往有腰椎间盘突出和软性椎管狭窄病理基础,在 受轻微外力后出现突发性双下肢截瘫。其中男9例,女7例,年龄在42～63岁,平均55．2岁。手术术 式采用后路切开减压,椎板切除,突出髓核摘除,tenor钢板内固定,横突间植骨融合,各节段脊神经根 彻底松解,术后经过严格康复治疗。结果 术后临床症状恢复情况优8例(50％),良7例(43．75％), 可1例(6．25％)。结论 下腰段急性中央型巨大间盘突出压迫马尾神经导致双下肢截瘫的患者行手术治 疗效果好,而且越早手术双下肢功能及膀胱扩约肌功能恢复越满意。

Effective observation and treatment of acute central large herniation of lower lumbar intervertebral disc

Objective Effective observation and treatment of acute central large herniation of lower lumbar intervertebral disc pressing cauda equina maked both legs paraplegia. Methods A total of 16 cases with acute central large herniation of lower lumbar intervertebral disc that had herniation of lumbar intervertebral disc and soft spinal stenosis long before between the age 42-63 years, average 55.2 years had both legs paraplegia, because of light extra-strength. The cases were operated to open decompression from back, picked out vertebral plates and the degenerative disc, freed every spinal nerve root completely, planted bone between the horizontal process . In the operation, TENOR was used for fixation. Everyone accepted recovering treatment after operation. ResultsMost symptoms were improved obviously, basic recovery8, improve7, ineffectivel. ConclusionOperation method were good used for treatment of acute central large herniation of lower lumbar intervertebral disc making both legs paraplegia. The more early operation, the more good effect of double legs and bladder sphincter.