腰椎间盘突出并发侧隐窝狭窄的诊断和治疗(附48例分析)

Treatment and Diagnosis of Lumbar Disc Herniation With Lateral Recess Stenosis (Analysis on 48 Cases)

４８例腰椎间盘突出并发侧隐窝狭窄均行手术治疗，其中２５例经椎板间开窗术，１９例经半椎板切除术，４例经全椎板切除术。术后随访３７例，其中优２２例，占５９．５％，良１１例，占２９．７％，优良率为８９．２％。笔者认为本病确诊需靠脊髓造影ＣＴ检查；手术以椎板间开窗、半椎板切除为主。如此手术创伤小，脊柱稳定性不受损，术后功能恢复快。

cases of lumbar disc herniation with lateral recess stenosis were treated by surgery. Amongthem,25 cases were treated by fenestration; 19 cases by semilaminectomy; 4 cases by whole laminecto-my. Among the follow-up 37 case survey 22 cases (59.5 percent) were excellent, and 11 cases (29.7percent) good. The excellent rate was 89.2 percent. The aurther believed that the diagnosis of the dis-ease depented on myelography CT ( CTM) . Surgery should take the fenestration and semilaminectomy asthe principal. In this way, the operation resulted in little traumation and a quick function recover after operation. In the meantime, the stability of spondy was not influenced.