摘要
腰椎间盘突出合侧隐窝狭窄手术失败的主要原因是术前对侧隐窝狭窄不能明确诊断，只满足椎间盘摘除，没有对侧隐窝进行探查和扩大减压。作者对２１例侧隐窝狭窄患者，依据ＣＴ、ＭＲＩ椎管造影诊断，手术采用以半椎板切除为主要进路，行腰椎间盘摘除和侧隐窝扩大术。１９例随访６个月～８年，优良率达９４．７％。
The main cause of failurre in operation for lumbar disc herniation with lateral recess stenosis includes an undefined preoperative diagnosis and the fact that the lateral recess was notexplored,enlarged and decompressed during dise extract The diagnosisof the condition in 21 cases was established by means of CT study,MRL and myelography The lumbar disc extraction and the enlarrgement of lateral recss were performed mainly through hem:laminectsmy Afollo-up of 19 cases for 8 months ～8 years showed an excellenf rate of 94 7%
出处
《河北医学》
CAS
1997年第5期12-13,共2页
Hebei Medicine
关键词
腰椎间盘突出
侧隐窝狭窄
外科手术
lumbar disc herniation
lateral recess stenosis
lateral recess enlargement
