腰椎管狭窄症(附47例报导)

本文报导47例腰椎管狭窄症的手术治疗,就其病因,病理和手术等进行讨论。本症起病缓慢,年龄偏高,平均48.5岁,有明显腰腿痛,间歇性跛行占87.2％,椎管狭窄的主要病理是退行性变,包括骨赘形成,黄韧带肥厚,椎板增厚等。椎管造影对诊断,手术定位及手术范围均有很大帮助,优于CT扫描。椎板彻底减压,术中注意侧隐窝,神经根管的狭窄。

Lumbar Spinal Stenosis(A Report of 47 Cases)

Fourty seven cases of lumbar spinal stenosis treated by surgical method were reported and discused on etiology,pathology and operation.This disease developed slowly in the elder people(48.5 years old in average)with evident lumbocrural pain.The incidence of intermittent claudication was 87.2％.The principal pathology was retrograde degeneration including osteophyte formation,pachis- mus of yellow ligament and thickening of vertebral lamina,etc.Spinal canal myelography was more helpful than computerized tomography scanning in the cnical diagnosis,operative location and scope. Laminectomy and decompression should be thorough and be sure to pay attention to the stenosis of later- al recess and nerve root tube in the operation.