节段性开窗潜行减压治疗腰椎管狭窄症

Segmental undercutting decompression in the treatment of lumbar spinal stenosis

目的：探讨潜行腰椎管减压手术治疗腰椎管狭窄症的手术效果。方法：回顾性分析213例经保守治疗无效的退变性腰椎管狭窄症,行多节段开窗潜行减压病例。结果：经术后随访5月-6年,平均3年6月,优：142例（66.7%）,良：59例（27.7%）,可：11例（5.2%）,差：2例（0.9%）,优良率为：94.4%。结论：严格掌握手术指征,行节段性开窗潜行腰椎管减压手术治疗腰椎管狭窄症即可起到椎管彻底减压的目的,又尽可能保留了脊柱后部结构的稳定性及完整性。

Objective：To explore the result of segmental undercutting decompression in the Treatment of Lumbar Spinal Stenosis.Methods：A retrospective analysis of 213 cases of ineffective conservative treatment of degenerative lumbar spinal stenosis,who underwent the multi-segmental undercutting decompression surgery.Results：The patients post-operation following up ranged from 5 months to 6 years,the average follow-up were 3 years and 6 months,The outcome was excellent in 142 cases（66.7%）,good in 59 cases（27.7%）,fair in 11 cases（5.2%）,poor in 2 cases（0.9%）.94.4 percent have the excellent or good results.Conclusion：With control of surgical indications strictly,segmental undercuttingdecompression in the Treatment of Lumbar Spinal Stenosis is effective, and it can also preserve the stability and integrity of posterior structure of spine.