Genevay S, Chevallier-Ruggeri P, Faundez A
Service de rhumatologie, Hôpital Beau-Séjour, HUG, 1211 Genève 14.
Rev Med Suisse. 2012 Mar 14;8(332):585-6, 588-9.
The lumbar spinal stenosis is a radiological description of a pathology that can present clinically by a neurogenic intermittent claudication; its diagnosis is mainly clinical. After listing the main criteria allowing the clinician to make a diagnosis, a review of available treatments is proposed. There are few quality studies and an empirical approach is often necessary. In severe cases, very disabling despite correct treatment, a surgical approach may be considered and discussed with the patient to avoid failure, sometimes linked to excessive expectations.
腰椎管狭窄是一种病理学的影像学描述，临床上可表现为神经源性间歇性跛行；其诊断主要依靠临床症状。在列出临床医生进行诊断的主要标准后，本文对现有的治疗方法进行了综述。高质量的研究较少，通常需要采用经验性方法。在严重病例中，尽管治疗正确但仍有严重功能障碍，可考虑采用手术治疗，并与患者进行讨论以避免失败，失败有时与过高期望有关。
