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老年腰椎间盘突出症的特点及手术方法
引用本文:张哉炯,施国强,温荣彬,叶汉深.老年腰椎间盘突出症的特点及手术方法[J].中国矫形外科杂志,2001,8(1):28-29.
作者姓名:张哉炯  施国强  温荣彬  叶汉深
作者单位:解放军第421医院外二科,
摘    要:目的:探讨60岁以上老年人腰椎间盘突出症的临床病理特点及手术方式。方法:对1990年6月-1998年6月手术治疗的31例老年腰突症患者进行随访及回顾性总结。结果:发现老年腰突症者合并腰椎管狭窄率高达77.8%。31例经1-8.5年随访,优良者27例,优良率87.1%。结论:手术方式既要遵循有限减压的手术原则,又要达到减压目的,术中必须同时适度扩大椎管,尤其是神经根通道。

关 键 词:老年人  腰椎间盘突出症  外科手术  治疗
文章编号:1005-8478(2001)01-0028-02
修稿时间:2000年5月12日

The Characteristics and Operative Method of Lumbar Disc Herniation in Old Person
ZHANG Zai jiong,SHI Guo qiang,WEN Rong bin,et al..The Characteristics and Operative Method of Lumbar Disc Herniation in Old Person[J].The Orthopedic Journal of China,2001,8(1):28-29.
Authors:ZHANG Zai jiong  SHI Guo qiang  WEN Rong bin  
Institution:ZHANG Zai jiong,SHI Guo qiang,WEN Rong bin,et al.the Second Department of Orthopedics,the 421 st Hospital of PLA.Guangzhou 510318.
Abstract:Objective: To research clinical pathological characteristics and surgical of method of Senile Lumbar Disc Herniation(SLDH) of patients who are over 60 years old.Method:31 cases SLDH,been surgical treated during June 1990 to June 1998,have been followed up and retrospective results have been summarized.Results:The rate of SLDH with lumbar spinal canal stenosis is up to 77.8%,31 cases have been followed-up l to 8.5 years,the results showed that:27 cases are excellent,the fine rate is up to 87.1%.Conclusion:surgical method must follow the rule of limiting decompression,but reached the effect of decompression.The spinal canal must be adequately expanded,especialy the nerval root passage during the operation.
Keywords:Senile  Lumbar disc herniation  Surge$
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