多发腰椎间盘突出合并椎管狭窄(附62例分析)

MULTIPLE PROLAPSE OF LUMBAR INTERVERTEBRAL DISC COMBINED WITH SPINAL CANAL STENOSIS:REPORT OF 62 CASES

报告近3年收治的腰椎间盘多发突出症232例中,合并椎管狭窄62例,占26.7％。椎管狭窄的原因中,59例继发于椎间盘多发突出,3例为腰椎退行性变。说明腰椎间盘突出可以引起椎管狭窄的观点是肯定的。患者表现具有腰椎间盘多发突出和椎管狭窄(矢状径≤10mm)的临床特点。康复治疗采用牵拉推压手法复位,配合矿泉浴等综合疗法,治愈率58.07％,总有效率91.94％。

Sixty-two patients with spinal canal stenosis were found in 232 patients with multiple prolapse of lumbar intervertebral disc diagnosed and treated during a three year period,accounting for 26.7% of the total. Among them, 59 cases of spinal canal stenosis occurred after prolapse of lumbar intervertebral disc and 3 cases were complicated by lumbar retrogression. It is illustrated that prolapse of lumbar intervertebral disc can lead up to spinal canal stenosis. The patients had the clinical characteristics of multiple prolapse of lumbar intervertebral disc and spinal canal stenosis (sagittal diameter≤10mm). The combined treatment of traction-press reposition cooperation with hot spring bath and so on was used during the rehabilitation,and it was found that the cure rate was 58.07％ and the total effectiverate was 91.94%.