192例腰椎间盘突出症患者的诊断及手术治疗分析

目的：总结分析１９２例腰椎间盘突出症及侧隐窝狭窄伴黄韧带肥厚患者的诊断和手术治疗。方法：经临床检查明确定位、定性诊断，影像学检查证实，采用小切口半椎板或全椎板切除减压、突出椎间盘髓核切除手术治疗。结果：手术证实腰椎间盘突出症１８９例，侧隐窝狭窄伴黄韧带肥厚３例，术后随访６月－５年，优良率７９％。结论：临床检查是腰椎间盘突出症诊断的基础，影像学检查对进一步明确定位诊断和鉴别诊断是必要的。手术指征的严格把握是手术成功的关键。

Diagnosis and Surgical Treatment of Lumbar Disc Protrusion__192 Cases

Objective: To analyze the diagnosis and surgical treatment of 192 patients with lumbar disc protrusion and lateral recess stenosis complicated with hypertrophy of ligamentum flavum. Method: All the cases were initially diagnosed by clinical examination,level and qualitative diagnosis proved by imaging examination. Small incision,unilateral or total laminectomy,removal of neuclus pulposus were performed. Result: Operations proved 189 cases with lumbar disc protrusion,3 cases with lateral recess stenosis complicated with hypertrophy of ligamentum flavum. Follow-up lasted from 6 months to 5 years. Curative effect was seen in 97%of the patients. Conclusion: Clinical examination was fundamental in the diagnosis and imaging examination is necessary for level and differential diagnoses. Strictly controlled indications of operation is the key to successful surgery.