| 单纯黄韧带肥厚致腰椎管狭窄及根性疼痛 |
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| 引用本文： | 刘立岷,宋跃明,龚全,李涛. 单纯黄韧带肥厚致腰椎管狭窄及根性疼痛[J]. 中国修复重建外科杂志, 2003, 17(1): 50-51 |
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| 作者姓名： | 刘立岷 宋跃明 龚全 李涛 |
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| 作者单位： | 四川大学华西医院骨科,成都,610041 |
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| 摘 要： | 目的：探讨单纯黄韧带肥厚致腰椎管狭窄及根性疼痛的临床表现。方法：回顾1997年－2001年腰腿痛的143例病例，其中例为单纯黄韧带肥厚所致，年龄65－78岁，均手术行单纯黄韧带切除，达到椎管减压，结果：此类患者均为老年，病程长，可有急性加重过程，疼痛可与椎间盘突出相似，但以下腰疼痛明显，而下肢放射痛相对较轻，临床及影像学均易误诊。结论：退变引起的黄韧带肥厚可造成椎管狭窄及根性疼痛，手术切除后症状明显缓解。长期随访，患者腰痛消失，可以长时间行走，明显提高了生活质量。
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| 关 键 词： | 单纯黄韧带肥厚 腰椎管狭窄 根性疼痛 病因 临床表现 腰腿痛 |
| 修稿时间： | 2002-02-25 |
TREATMENT OF LUMBAR STENOSIS AND ROOT PAIN RESULTING FROM SIMPLE HYPERTROPHY OF LUMBAR LIGAMENTUM FLAVUM |
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| LIU Li min,SONG Yue ming,GONG Quan,et al.. TREATMENT OF LUMBAR STENOSIS AND ROOT PAIN RESULTING FROM SIMPLE HYPERTROPHY OF LUMBAR LIGAMENTUM FLAVUM[J]. Chinese journal of reparative and reconstructive surgery, 2003, 17(1): 50-51 |
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| Authors: | LIU Li min SONG Yue ming GONG Quan et al. |
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| Affiliation: | Department of Orthopaedic Surgery, West China Hospital of Sichuan University, Chengdu, Sichuan, P. R. China 610041. |
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| Abstract: | Objective To provide a better treatment method of lumbar stenosis and root pain resulting from simple hypertrophy of ligamentum flavum. Methods By studying the records of 143 lumbar pain cases, we found 5 cases caused by simple hypertrophy of ligamentum flavum. All the patients were old man with a long progressed history. There was little difference of clinical features between the disc herniation and hypertrophy of ligamentum flavum. All cases accepted resection of ligamentum flavum. Results All the symptoms were relieved postoperatively. The patients could walk. Conclusion The degeneration of lumbar ligamentum flavum can cause lumbar stenosis and root pain. Resection of ligamentum flavum can relieve the symptom. |
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| Keywords: | Lumbar ligamentum flavum Lumbar stenosis Root pain |
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