摘要
目的 分析多节段腰椎间盘突出症患者的临床特征及影像学改变，并对有限潜行减压术疗效进行回顾性评价。方法1999年3月～2004年3月，收治22例（L1-S1共49个节段）多节段腰椎间盘突出症患者，男14例，女8例，年龄49～68岁。以L4，5及L5、S1为主，共35个节段。均行有限潜行减压加髓核摘除术。结果术后22例患者获随访4～21个月，平均7个月。术后x线片检查腰椎稳定。按Nakai等评定标准评价：优16例、良5例、可1例。无神经根损伤和硬脊膜损伤等并发症。结论有限潜行减压术治疗多节段腰椎间盘突出症是一种有效的手术方法，能解决多节段腰椎间盘突出症引起的突出和狭窄，并最大限度地保持了脊柱的稳定性。
Objective To retrospectively analyze the clinical and imaging features of multi-segmental lumbar intervertebral disc protrusion and its treatment with the limited recessive decompression operation. Methods Twentytwo patients （14 males and 8 females, aged 49-68 years） were admitted to hospital from March 1999 to March 2004. They suffered from multi-segmental lumbar intervertebral disc protrusion that involved L1-S1 and were treated with the limited recessive decompression operation. Results The follow-up for 4-21 months showed that 16 of the patients had an excellent outcome, 5 had a good outcome, and 1 had fair outcome. There were no such operative complications as nerve root lesions and putamen lesions. Conclusion The limited recessive decompression operation is one of the available good treatments for multi-segmental lumbar intervertebral disc protrusion. It solves problems of herniation and stenosis and maintains stability of the spine.
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2006年第4期407-409,共3页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
腰椎间盘突出症
多节段
有限潜行减压术
评估
疗效
Lumbar intervertebral disc protrusion Multi-segmental Limited recessive decompression operation Assessment Curative effect
