| 126例腰椎管狭窄症开放手术前后诊断分析 |
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| 引用本文： | 李莹,刘镠,谢峰,谈军. 126例腰椎管狭窄症开放手术前后诊断分析[J]. 中国疼痛医学杂志, 2011, 17(7). DOI: 10.3969/j.issn.1006-9852.2011.07.007 |
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| 作者姓名： | 李莹 刘镠 谢峰 谈军 |
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| 作者单位： | 宜昌市中医院骨伤科,宜昌,443000 |
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| 摘 要： | 目的:结合现行腰椎管狭窄症诊断标准,进一步探讨腰椎管狭窄的病理原因,为临床对该疾病治疗手段的选择提供参考依据.方法:对126例临床诊断为腰椎管狭窄症(LSS)并行手术治疗的病例进行术中测量,根据术前影像与术中所见情况比较分析,甄别实际腰椎管狭窄程度、神经卡压状态及与腰椎间盘突出的关系.结果:所有患者伴有一侧或双侧腰腿痛症状,影像学表现中央型狭窄16例次,腰椎管正中矢状径<10mm;侧隐窝狭窄110例次,侧隐窝高度<3mm.手术中观察发现,实际情况与术前影像相符的病例仅为36例次,部分相符相对狭窄病例共72例,有18例患者术中所见无明显狭窄情况,致病原因由椎间盘突出所致,与术前椎体CT和MRI结果相左.结论:临床LSS诊断仍有局限与不足,术前诊断与术中诊断有较大偏差.对以椎间盘突出为主要因素LSS患者,保守或微创治疗仍然是值得选择的治疗方法.
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| 关 键 词： | 腰椎管狭窄症 影像 手术 诊断探讨 |
A STUDY ON PRE & POST-SURGERY DIAGNOSIS OF 126 PATIENTS WITH LUMBAR SPINAL STENOSIS |
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| LI Ying,LIU Liu,XIE Feng,TAN Jun. A STUDY ON PRE & POST-SURGERY DIAGNOSIS OF 126 PATIENTS WITH LUMBAR SPINAL STENOSIS[J]. Chinese Journal of Pain Medicine, 2011, 17(7). DOI: 10.3969/j.issn.1006-9852.2011.07.007 |
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| Authors: | LI Ying LIU Liu XIE Feng TAN Jun |
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| Affiliation: | LI Ying,LIU Liu,XIE Feng,TAN Jun(Department of Orthopadics,Traditional Chinese Medicine Hospital of Yichang,Yichang 443001) |
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| Abstract: | Objective:To further explore the pathology of lumbar spinal stenosis(LSS) based on the current diagnosis standards,and provide reference for choosing treatment for LSS.Methods:126 patients with lumbar spinal stenosis were treated with surgery,whose spinal canal sizes were gauged intraoperatively.We compared the condition observed intraoperatively to the radiological image obtained pre-operatively.Then we determined the degree of lumbar spinal canal stenosis,nerve compression,and their relation to lumbar dis... |
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| Keywords: | Lumbar Spinal Stenosis Radiological image Surgery Diagnosis and Analysis |
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