Ma Z, Li C, Lu H
First Hospital of Beijing Medical University.
Zhonghua Wai Ke Za Zhi. 1995 Mar;33(3):133-6.
A total of 168 cases of lumbar spinal stenosis syndrome were operated on in recent 6 years. They included 13 cases of developmental spinal stenosis and 155 cases of acquired spinal stenosis. All patients were followed up for an average of 2 years and 7 months, ranging from 3 months to 5 years and 10 months. The results of treatment were not satisfactory in developmental spinal stenosis (excellent 46.2%, good 30.7%, fair 15.4%, poor 7.7%), but good in acquired spinal stenosis (excellent 72.2%, good 22.6%, fair 5.2%, poor 0). Moreover, with different classification and pathology, acquired spinal stenosis had different results. The authors stressed that it is very important to consider the methods and the range of operation according to the pathological characteristics of myelography and CTM of lumbar spinal stenosis.
近6年共对168例腰椎管狭窄综合征患者进行了手术治疗。其中发育性椎管狭窄13例，后天性椎管狭窄155例。所有患者平均随访2年7个月，随访时间从3个月至5年10个月不等。发育性椎管狭窄的治疗效果不尽人意（优46.2%，良30.7%，可15.4%，差7.7%），而后天性椎管狭窄的治疗效果较好（优72.2%，良22.6%，可5.2%，差0）。此外，后天性椎管狭窄根据不同的分类和病理情况，治疗结果也有所不同。作者强调，根据腰椎管狭窄症脊髓造影和CTM的病理特征来考虑手术方法和范围非常重要。
