腰椎间盘突出症及腰椎管狭窄症手术的疗效分析（附580例远期随访报告）

The Results of Surgery Treatment for Lumbar Disc Protrusiou and Spinal Canal Stenosis(A Report of 580 Cases)

本文报告对５８０例采用手术治疗的腰椎间盘突出症及腰椎管狭窄症的近期疗效和经过８年以上随访的远期疗效，满意率均达到９０％。术后早期无效的１０例，后诊断为臀肌筋膜无菌炎症性损害，经用软组织松解术治愈，早期属优后来复发的８例经再次手术治愈。１０例从早期属优降为好转的因术后腰椎发生失稳。作者提出对根性和干性坐骨神经痛的鉴别诊断；对于伴腰椎间盘膨出的腰椎管狭窄症，可只作椎管内软组织松解术而不切除膨出的椎间盘。

The results of operative treatment for lumbar prolapsed disc and spinal canal stenosis of 580 cases were presented. The recent and average long term follow一up for 8 years and satisfacto-ry results were obtained in 90%of the cases. The early 10 cases with no effect were due to part of the gluteal muscles and fascial aseptic lesions,which were treated by soft tissue releasing,Revision surgery were required in relaping of symptom in 8 cases whieh were rated as excellent post一opera tively. Acquired unstable of lumbar vertebral were 10 cases. The authors suggested differential di-agnosis of sciatic pain of root and tract origin.In case of spinal canal stenosis combined with disc protrusions the author suggested to release the soft tissue in the spinal canal only and remainning the disc not reseeted