腰椎退变三联症

The Trilogy of Lumbar Vertebral Degeneration

１６例经手术证实腰椎管侧隐窝狭窄、主椎管狭窄及椎间盘突出三者并存的病例。１５例行全椎板切除，１例行扩大半椎板切除，术后全组病例经半年～８年随访，优良率９３．８％。作者用“腰椎退变三联症”作为一个疾病名称提出，以显示三者发病的主要原因及彼此之间的病理联系，又突出出其临床表现的复杂性，并有利于提高临床医生的认识。确诊需靠ＣＴ椎管扫描。治疗主张全椎板切除，至少应做扩大半椎板切除。

uring operation,we found out that 16 patients were suffered from the stenosis of lateral aseess of lumbar vertebral canal and of main veriebral canal and protrusion of the intervertebral disc at the same time. 16 patients were undement totallaminectotny,one patient enlarged hemilaminectomy. After operation,all the patients were followed up for half a year to 8yesrs. The excellent rate was 93.8%.The authors suggested “The Trilogy of Lumbar Vertebral Degeneration”as the nameof the disease ,which not only showed the main reasons for the three above and the pathology relations among them ,but alsoemphasized the complication of clinical manifestation. It was useful for improving the clinicians realization. The diagnosismust depend on CT veriebral canal scanning. The authors suggested that might to treat this kind of patients by total laminec-tomy,at least enlarged hemilaminectomy.