双侧潜行扩大开窗髓核摘除术治疗老年人腰椎间盘突出合并椎管狭窄症

Treatment of Lumbar Disc Herniation Combined with Lumbar Spinal Stenosis of the Elder with Enlarge Undercutting Laminae Decompression in Bilaterally and Myelin Nucleus Resection

目的：探讨老年人腰椎间盘突出伴腰椎管狭窄症的手术治疗方案。方法：回顾分析本院2001年1月-2006年1月期间,对26例老年人椎间盘突出合并椎管狭窄病例的采用双侧潜式扩大开窗椎间盘髓核摘除、椎管减压术治疗,并采用Nakai疗效标准进行评定。结果：26例经过平均18月的随访,以Nakai疗效标准评定,优良率达92.3%。结论：老年人腰椎间盘突出,伴椎管狭窄症,采取潜行双侧椎板间隙开窗减压及突出椎间髓核摘除方案,在减压的同时,能保持较好的脊柱稳定性,取得较好疗效。

Objective： To discuss the operative method for lumbar disc herniation combined with lumbar spinal stenosis of the elder. Methods： To analyse the materials of 26 cases senior patient who suffered from lumbar disc herniation combined with lumbar spinal stenosis and were received decompression in bilaterally and myelin nucleus resection from January 2001 to January,2006 with the Nakai curative standard. Results： 26 cases were followed up 18 months in averaged. The rate of good and excellent. The good effective rate abtained in 92.3 percent. Conclusion： Decompression in bilaterally by enlarge undercutting the laminae through the interspace of laminae and myelin nucleus resection to lumbar disc herniation combined with lumbar spinal stenosis of the elder could gain good curative Results, maitain spine stability and do decompression effectively.