摘要
目的:探讨发育性腰椎椎管狭窄合并腰椎间盘突出症的病理特点、诊断和治疗。方法:报告42例发育性腰椎椎管狭窄合并腰椎间盘突出症,计男29例,女13例,年龄19~44岁,平均31.7岁。均采用经椎板间开窗行椎间盘切除术治疗。结果:随访2~7年,平均4.4年。28例术前症状完全消失,13例根性疼痛或间歇性跛行症状消失但仍遗有腰痛,1例症状体征消失6年后又出现间歇性跛行。结论:腰椎椎管狭窄和腰椎间盘突出系两种独立的疾病,发育性椎管狭窄往往只是致病的条件而非决定因素。
Objective:To invetigate the pathological characteristics,diagnosis and treatment of lumbar disc herniation in patients with developmental spinal stenosis.Methods:Forty two lumbar disc herniations with developmental spinal stenosis were retrospectively reviewed and analyzed.There were 29 males and 13 females,aged 19 to 44 years (mean, 31 7 years). Discectomy was performed after laminotomy on all patients.Results:The patients were followed up for 2 to 7 years (mean,4 4 years). The preoperative symptoms disappeared completely in 28 patients,some degree of backache remained in 13 patients although the nerve root pain had been relieved and after 6 year resolution of the preoperative pain the intermittent claudication reappeared in one patient. Conclusion:Lumbar spinal stenosis and lumbar disc herniation are totally different pathological processes.Developmental stenosis of the lumbar spine is a conditional but not absolute determinant of neural compression.When developmental spinal stenosis is combined with disc herniation,discectomy through laminotomy rather than laminectomy is usually sufficient for decompression.
出处
《中国矫形外科杂志》
CAS
CSCD
1999年第4期257-259,共3页
Orthopedic Journal of China
基金
国家自然科学基金
关键词
腰椎
椎间盘突出
椎管狭窄
治疗
Lumbar vertebrae Intervertebral disk displacement Spinal canal Spinal stenosis