摘要
作者报告５０例腰椎间盘突出症合并骨化的临床表现病因病理和手术治疗．１９８７～１９９４年本院收治该症５０例，男２７例，女２３例，年龄２８～６４岁，平均４７岁，均经ＣＴ和手术证实．４２例腰前突消失、侧弯畸形、腰椎活动受限；４８例直腿抬高试验阳性；３５例下肢肌力减弱，其中５例足下垂．随访半年～５年，平均３年２月．结果：优２５例，良１７例，可８例．腰间盘突出症合并骨化是机体对椎间不稳的防御反应，易引起神经组织不可逆的病理变化，按摩推拿只能使神经根在硬的骨面上研磨，进一步损伤神经组织，该症一经诊断尽早手术．
Theauthorsreported50casesofossificationoftheprotrudedlumbarintervertebraldisctreatedwithsurgeryfrom1987to1994.Therewere27malesand23femaleswiththeagerangedbe-tween28and64andanaverageof47years.ThelesionswerealconfirmedwithCTandoperation.Clinicaly,42casesshowedlossoflumbarlordosisandhadscoliosisandlimitationofthespinalmove-ment.48caseshadpositivesignduringthestraightlegraisingtest.Weaknessofthelowerextremitywasseenin35casesandfootdropin5cases.Thefolow-upperiodaveraged3yearsand2monthsandtheresultswereexcelentin25cases.goodin17andfairin8.Ossificationoftheprotudedlumbarin-tervertebraldiscisanorganicreactionfordefenseofintervertebralinstabilityandtheossifiedtissuemayirritatethenerverootscausingirreversiblepathologicalchanges.Massagetreatmentmaygrindthenerverootsonthehardbonysurfacecausingfurtherinjuries.Surgicaltreatmentismandatoryoncethediagnosisofossificationisestablished.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第7期421-422,共2页
Chinese Journal of Orthopaedics
关键词
椎间盘突出
骨化
腰椎
LumbarintervertebraldiscProtrutionOssification
