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有限椎板切除椎管扩大术治疗非骨性腰椎管狭窄症:附45例报告

[Non-bony lumbar stenosis treated by excision of limited lamina and enlargement of spinal canal: a report of 45 cases].

作者信息

Lian P

机构信息

85th hospital of People's Liberation Army.

出版信息

Zhonghua Wai Ke Za Zhi. 1993 Jul;31(7):414-6.

PMID:8313770
Abstract

In the treatment of 45 cases with non-bony lumbar stenosis, we adopted remain of spinal process and supraspinal ligament, excision of limited lamina and ligament flavum, enlargement of spinal canal. Follow-up of 40 cases showed 31 were excellent, 7, good and 2 poor. Satisfactory results were obtained in 95% of the cases: non-bony lumbar stenosis considered a type of acquired lumbar stenosis. Clinically, it was characterized by claudication. Diagnosis of the disease mainly depends on dynamic flexion-extension myelography. The advantages of this method include excision of spinal canal soft tissue which compressed nerve, small damage of bone structure, recover of the patients and lumbar stability.

摘要

在治疗45例非骨性腰椎管狭窄症患者时,我们采用了保留棘突和棘上韧带、有限切除椎板和黄韧带、扩大椎管的方法。40例患者的随访结果显示,优31例,良7例,差2例。95%的病例取得了满意的效果:非骨性腰椎管狭窄症被认为是一种后天性腰椎管狭窄症。临床上,其特征为间歇性跛行。该病的诊断主要依靠动态屈伸脊髓造影。该方法的优点包括切除压迫神经的椎管软组织、对骨结构损伤小、患者恢复快以及腰椎稳定性好。

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