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| 双侧椎板间开窗治疗稳定型腰椎管狭窄症 | |
| 引用本文： | 田长庆,李振宇,周文钰,曾腾辉. 双侧椎板间开窗治疗稳定型腰椎管狭窄症[J]. 中国现代手术学杂志, 2009, 13(3): 206-207 |
| 作者姓名： | 田长庆 李振宇 周文钰 曾腾辉 |
| 作者单位： | 深圳市第二人民医院脊柱外科,深圳,518035 |
| 摘 要： | 目的探讨双侧椎板间开窗治疗稳定型腰椎管狭窄症的方法、适应证和疗效。方法83例稳定型腰椎管狭窄症患者，均行双侧椎板间开窗治疗。结果76例平均随访1．5（0．5—6）年。疗效采用Nakai评分标准：优59例，良11例，可5例，差1例；优良率92．1％。1例因多节段双侧椎板间开窗导致医源性腰椎失稳行二次手术。结论双侧椎板间开窗法是治疗稳定型腰椎管狭窄症较理想的治疗方法。 |
| 关 键 词： | 椎管狭窄 腰椎 |
Bilateral Fenestration and Laminectomy for Stable Lumbar Spinal Stenosis |
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| TIAN Chang-qing,LI Zhen-yu,ZHOU Wen-yu,ZENG Ten-hui. Bilateral Fenestration and Laminectomy for Stable Lumbar Spinal Stenosis[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(3): 206-207 | |
| Authors: | TIAN Chang-qing LI Zhen-yu ZHOU Wen-yu ZENG Ten-hui |
| Affiliation: | TIAN Chang-qing, LI Zhen- yu, ZHOU Wen-yu, ZENG Ten-hui (Department of Spine Surgery, Second People ＇s Hospital of Shenzhen, Shenzhen 518035, Gnangdong , China) |
| Abstract: | Objective To discuss the indications, methods and effects of bilateral fenestration and laminectomy for stable lumbar spinal stenosis （LSS）. Method 83 stable LSS cases were performed bilateral fenestration and laminectomy. Results 76 cases were followed up for 0.5 to 6 years. According to Nakai score standard, the result revealed excellence in 59, good in 11, fair in 5, and false in 1 case, and the fineness rate was 92.1%. One case was received reoperation due to iatrogenic lumbar instability. Conclusion Bilateral fenestration and laminectomy would be an ideal surgical therapy for stable LSS. |
| Keywords: | spinal stenosis lumbar vertebrae |
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