腰椎间孔纤维性狭窄症(附14例报告)

FIBROUS STRICTURE OF INTERVERTEBRAL FORAMAN

对12例经物理诊断否认有骨性椎管狭窄及腰椎间盘突出症,但确有腰椎神经根性痛症状的病人,及2例术前确诊为“腰椎间盘突出症”的病人,但术中没有找到破裂、突出的纤维环或脱出的髓核而行椎间孔神经根松解术,均收到满意效果。通过在生物力学、腰椎间孔解剖及病理解剖、病因、诊断和治疗等方面的探讨,论证了腰椎间孔纤维性狭窄症诊断的成立及提出的必要性,并详述了手术方法。

Twelvecases,, had been showed by phisical diagnosis, that they were not osseous spinal canal stenosis and prolapse of lumber intervertebral disc but were lumber vertebral rediculalgia.Two cases, diagnosed to be prolapse of lumber intervertebral disc pre-operation, were without any find of the bro- ken and projecting fibrous rings or pulpiform nucleus iu the operation, all got a satifying result after the nerve root's, lytic operation, in the inter-vertebral foraman. According to the research of the biomechanics, the anatomy and pathoanatomy of intervertebral foramen of lumber vertebrea, the treatment and so on, we proved the establishment of the diagnosis of fibrous tstricture of intervertebral foramen, and the necessity for it to be offered. We also described thoroughly the course of operation of it.