单纯椎管减压治疗腰椎管狭窄症疗效分析 |
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引用本文: | 王宏沛,康学文,王栓科.单纯椎管减压治疗腰椎管狭窄症疗效分析[J].甘肃医药,2011(3):141-143. |
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作者姓名: | 王宏沛 康学文 王栓科 |
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作者单位: | 兰州大学第二医院骨科,甘肃兰州730030 |
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摘 要: | 目的:分析单纯椎管减压治疗腰椎管狭窄症的手术疗效。方法:回顾性分析2005年1月-2008年12月间我科收治的腰椎管狭窄症随访患者26例,男17例,女9例,年龄45-74岁。单侧开窗减压8例,双侧开窗减压11例,单侧半椎板切除减压3例,双侧半椎板切除减压4例,同时行神经根通道扩大21例,26例均行相应椎间盘髓核切除。结果:26例患者经过27-70月随访,术后腰腿疼痛不能完全缓解4例,术后12月时存在慢性腰痛6例。术后24月时慢性腰痛或合并下肢麻木疼痛需要治疗者7例,其中单侧开窗减压术后1例,双侧开窗减压术后2例,单侧半椎板切除减压术后1例,双侧半椎板切除减压术后3例。接受再手术3例,其中单侧半椎板切除减压术后1例,双侧半椎板切除减压术后2例。结论:单纯椎管减压治疗腰椎管狭窄症是有效方法之一,但应严格掌握其适应症。减压不彻底、术后腰椎不稳是其术后慢性腰腿痛的主要原因。
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关 键 词: | 腰椎管狭窄症 有限减压 疗效 |
Effect analysis of treating patients with lumbar spinal stenosis by limited vertebral canal decompression |
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Authors: | WANG Hong-pei KANG Xue-wen WANG Shuan-ke |
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Institution: | Department of Orthopedics,the Second Hospital of Lanzhou University,Lanzhou 730030,China |
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Abstract: | Objective:To assess efficacy of limited vertebral canal decompression in patients with lumbar spinal stenosis.Methods:From January 2005 to December 2008 in orthopedics department, 26 patients with lumbar spinal stenosis consisted of 17 males and 9 females,ranging from 45 to 74 years of age,were retrospectly analyzed. Among them,unilateral fenestration decompression was performed in 8 cases, bilateral fenestration decompression was performed in 11 cases, unilateral laminectomy was performed in 3 cases and bilateral laminectomy was performed in 4 cases. Moreover,nerve roots canal were expanded in 21 cases and corresponding intervertebral disc excision in all. Results:Following-up 27 to 77 months after the operation,waist and leg pain were not relieved in 4 cases and chronic low back pain patients were defined for 12 months after operation.There were 7 patients with leg pain and numbness of lower limbs for 24 months after operation who need to be treated, including 1 case of unilateral fenestration decompression,2 cases of bilateral fenestration decompression,1 case of unilateral laminectomy and 3 cases of bilateral laminectomy. There were 3 patients who need to be received reoperation,including 1 case of unilateral fenestration decompression and 2 cases of bilateral fenestration decompression. Conclusion: This study suggests that the method of treaing patients with lumbar spinal stenosis by limited vertebral canal decompression can provide a beneficial effect,but indications should be strictly regulated.The main reasons for chronic low back pain after operation may be incomplete decompression and lumbar instability after operation. |
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Keywords: | lumbar spinal stenosis limited decompression efficacy |
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