老年性腰椎间盘突出症的病理特点及手术治疗(附49例分析)

The Pathologic Characteristics and Surgical Treatment of Senile Lumbar Disc Protrusion

对49例老年性腰椎间盘突出症的病理特点进行研究。自1989年～1996年共手术治疗老年性腰椎间盘突出症49例,占同期腰椎间盘突出症手术的5％。行小切口开窗髓核摘除36例,扩大开窗髓核摘除10例,半椎板切除髓核摘除3例。随访1年～8.5年,平均4年,优良率47.2％。作者分析了手术疗效差的三个原因,提出了符合老年性腰椎间盘突出症的三种手术方式及适应证。

The pathologic characteristics of 49 cases with senile lumbar disc protrusion were studied from 1989 to 1996. They were operated, accounting for 5 % operations of lumbar disc protrusion at the same time. The nucleus pulposus were extirpated by small fenestration in 36 cases, by enlarging fenestration in 10 cases and by resecting half vertebral lam-ina in 3 cases.These patients had been followed up for 1 to 8.5 years and on average 4 years.The results with excellent and good were 47.2% .Three causes of operative failure were analyzed.Three operative methods fitting the senile lumbar disc protrusion and their indications were put forward.