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[腰椎间盘切除术及椎间孔切开术]

[Lumbar discectomy and forominotomy].

作者信息

Jia L S

出版信息

Zhonghua Wai Ke Za Zhi. 1989 Feb;27(2):83-4, 124-5.

PMID:2776544
Abstract

17 patients, 11 males and 6 females, aged from 25 to 65 years (41.5 years, on average), suffered from lumbago and/or sciatica in various patterns, were operated upon. Lumbar discectomy and forominotomy were performed on 12 cases, and forominotomy only on 5. Follow-up of all the 17 patients found excellent and good results in 88.3% (15/17). Based on the experience from this small series of patients, we would suggest: forominotomy should be done on cases in whom neither disc protrusion nor yellow ligament thickening nor recess narrowing could be found, or the corresponding nerve root could not get free and still remain tight after discectomy, or the nerve root sustained tenderness on pressure when the operation was carried out under local anesthesia.

摘要

17例患者(男11例,女6例),年龄在25至65岁之间(平均41.5岁),患有各种类型的腰痛和/或坐骨神经痛,接受了手术治疗。12例行腰椎间盘切除术和椎间孔切开术,5例仅行椎间孔切开术。对所有17例患者进行随访,发现88.3%(15/17)的患者效果优良。基于这一小系列患者的经验,我们建议:对于那些未发现椎间盘突出、黄韧带增厚或侧隐窝狭窄,或者在椎间盘切除术后相应神经根无法松解且仍保持紧张,或者在局部麻醉下手术时神经根受压有压痛的病例,应行椎间孔切开术。

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