胸椎管狭窄症的临床特点及手术治疗

目的 总结胸椎管狭窄症的临床特点,探讨胸椎管狭窄症手术治疗的效果.方法 回顾性分析58例因各种原因致胸椎管狭窄症患者的临床及影像学表现、手术治疗效果等临床资料.结果 随访时间6～52个月,平均32个月.功能评定采用改良的Epstein评分标准,其中:优25例、良18例、改善12例、差3例.优良率为74.1%.结论 胸椎管狭窄症表现为胸段脊髓受压的症状和体征,根据脊髓受累平面的不同表现为痉挛或弛缓性瘫痪,手术是一种比较有效的治疗方法.

The clinical features and the operative treatment for thoracic spinal stenosis

Objective To sum up the clinical features and to explore the operation effect for the thoracic spinal stenosis. Methods The clinical manifestations, imageology and therapeutic effects of the 58 various thoracic spinal stenosis patients were retrospectively analyzed. Results Totally 58 cases had six-month to fifty-two-month follow-up survey with the average period of thirty-two-month. Epstein's assessment was used to calculate the improving rate of post operation. Among the therapeutic effect of 25 were excellent, 18 cases was good, 12 cases was improvement and 3 cases was poor. Excellent rate was 74. 1%. Conclusion Operative treatment is an effective method for the thoracic spinal stenosis.