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腰椎管特发性发育性狭窄的外科治疗结果。二十七年经验回顾。

Results of surgical treatment of idiopathic developmental stenosis of the lumbar vertebral canal. A review of twenty-seven years' experience.

作者信息

Verbiest H

出版信息

J Bone Joint Surg Br. 1977 May;59(2):181-8. doi: 10.1302/0301-620X.59B2.141452.

Abstract

Between 1948 and 1975 147 patients were treated surgically for developmental stenosis of the lumbar vertebral canal, measurement of the mid-sagittal diameters in the whole area of stenosis being performed in 116 patients. Ninety-two of these patients were followed up for periods varying between one and twenty years. About two-thirds were completely relieved fo symptoms and signs. Sciatica and intermittent claudication were more frequently cured than radicular deficit and lumbago, the latter being the most frequent persisting symptom. A permanent neural deficit as a result of the surgical procedure was noted in two cases. A detailed presentation of the technique, complications and results is given.

摘要

1948年至1975年间,147例患者因腰椎管发育性狭窄接受了手术治疗,其中116例患者在整个狭窄区域进行了矢状径测量。这些患者中有92例接受了为期1至20年的随访。约三分之二的患者症状和体征完全缓解。坐骨神经痛和间歇性跛行比神经根缺损和腰痛更常治愈,后者是最常见的持续症状。手术导致的永久性神经功能缺损在2例中被记录。文中给出了该技术、并发症和结果的详细介绍。

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