腰椎管狭窄症的病因和治疗(附450例报告)

THE LONG-TERM FOLLOW-UP OF LUMBAR SPINAL CANAL STENOSIS

腰椎管狭窄症较多见,其发病率仅次于腰椎间盘突出症,占椎管内疾病第二位。自1972至1987年,上海市第一人民医院、海港医院、上海建筑工程局职工医院、海员医院共手术治疗450例,对术后3年以上的325例作了随访。现就其病因、病理、诊断、治疗方案及其效果加以分析和讨论。

In 1972-1987,450 cases of lumbar spinal stenosis had been operated upon in our hospital and two affiliated hospitals.Two hundred eighty-eight cases were followed for more than 3 years,averager 8 years.There were no intermittent claudication and pain in extremity postoperatively in 45.1%,no intermittent claudication and diminished pain in extremity and lumbar region in 49.3%and no improvement in 5.6%.We divided the disease into central canal stenosis type,nerve root canal or lateral recess stenosis type and mixed type.Each type was treated accordingly.