腰椎间盘突出合并侧隐窝狭窄症的诊断（附81例疗效分析）

Diagnosis and Surgical Treatment of Protrusion of the Lumbar lntervertebral Disc with Lateral Recess Stenosis (A report of 81cases)

报告８１例腰椎间盘突出合并侧隐窝狭窄症的诊断和手术疗效．经ＣＴ扫描５８例，椎管造影２３例，全部行腰椎间盘髓核摘除及侧隐窝扩大．认为本病主要临床表现为一组混合性症状，腰腿痛严重而顽固，椎管造影ＣＴ检查有助于确诊．手术应在切除突出椎间盘髓核的同时行侧隐窝扩大术，单纯切除椎间盘髓核，效果往往不佳。

Eighty one cases of protrusion of the lumbar intervertebral disc with lateral recess stenosis were reported, there were 57 males and 24 females with the age range from 2469 years,on an average of 41. 5 years. 58 had total laminectomy, 3 had hemilaminectomy and 20 had fenestration, 80 cases were followed-up for 6 months to 4 years and 5months after surgery. Results were as follows: 58 cases (72. 5%) were excellent, 13cases (16. 3% ) good, 7 cases (8. 7% ) fair and2 cases (2. 5%) poor. Excellent and good rate was 88. 8%. The clinical manifestations included a group of severe and miscellaneous symptoms, usually with a long term history.The clinical diagnosis depended on CT scanning. In order to get a satisfactory result, lateral recess should be enlarged while the protruded lumbar intervertebral discs were extracted.