Department of Neurosurgery, Zhuji People' Hospital of Zhejiang Province, Zhuji Affiliated Hospital of Shaoxing University, Zhuji, Zhejiang, China.
Department of Neurosurgery, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Prog Brain Res. 2021;266:377-385. doi: 10.1016/bs.pbr.2021.06.019. Epub 2021 Aug 13.
The incidence of cervical, thoracic and lumbar spinal canal stenosis is low. It is difficult to identify the main focus and responsible segment, and it is also difficult to select the sequence of staging surgery. We report a patient with triple stenosis.
In this paper, we introduced a 61-year-old female patient with cervical, thoracic and lumbar spinal canal stenosis who had previously undergone "lumbar discectomy" in the outer hospital. The postoperative effect was not good and the symptoms were poor. The diagnosis was "cervical spinal stenosis and lumbar spine surgery." The staged spinal canal decompression operation and Duhuo Jisheng Decoction (DHJSD) treatment were conducted in our hospital. After 3 months of follow-up, the functional and imaging results were satisfactory.
We should pay enough attention to the patients with spinal degenerative diseases who need surgery, and must pursue the unity of medical history, signs and images. In case of difficult patients, more comprehensive examination is required, and the main focus and responsible segment are determined through comprehensive analysis. The more important diseases that may exist cannot be covered up by focal lesion manifestations, so as to avoid unnecessary surgical trauma for patients. In addition, surgery combined with Chinese herbal medicine DHJSD therapy may be an effective treatment for this kind of disease.
颈椎、胸椎和腰椎椎管狭窄的发病率较低。难以确定主要焦点和责任节段，也难以选择分期手术的顺序。我们报告了一例三例狭窄的患者。
本文介绍了一位 61 岁的女性患者，她患有颈椎、胸椎和腰椎椎管狭窄症，曾在外院接受“腰椎间盘切除术”。术后效果不佳，症状不佳。诊断为“颈椎管狭窄症和腰椎手术”。在我院进行分期椎管减压手术和独活寄生汤（DHJSD）治疗。随访 3 个月后，功能和影像学结果满意。
我们应该对需要手术的脊柱退行性疾病患者给予足够的重视，必须追求病史、体征和影像学的统一。对于困难的患者，需要进行更全面的检查，并通过综合分析确定主要焦点和责任节段。更重要的是，可能存在的疾病不能被局灶性病变表现所掩盖，以免给患者造成不必要的手术创伤。此外，手术结合中药 DHJSD 治疗可能是治疗这种疾病的有效方法。
