黄韧带骨化型胸椎管狭窄症15例治疗分析

Clinical efficacy of surgical treatment in ossification of ligamentum flavum - thoracic spinal stenosis

目的对经手术治疗的黄韧带骨化型胸椎管狭窄症病例进行分析，探讨其手术效果及并发症的预防。方法回顾性分析15例胸椎管狭窄症病例的临床资料，随访12～34个月，平均随访24个月。结果15例患者全部获得随访。术中4例发生硬脊膜破裂，经修复后愈合良好。疗效评价：优5例，良5例，改善2例，差3例，优良率66．67％，总有效率80％。结论手术减压仍是治疗该病的唯一有效的方法，但手术难度高、并发症发生率高，应重视并发症的预防。

Objective To examine the clinical efficacy of surgical treatment in ossification of ligamentum flavum -thoracic spinal stenosis （OLF -TSS）, and the prevention of complications. Methods The clinical data of 15 eases of OLF - TSS were retrospectively reviewed. The follow - up lasted 12 to 34 months with an average of 24 months. Results All the 15 patients were followed up. Endorhaehis injury intraoperatively occurred in 4 patients and was well recovered after treatment. Clinical efficacy was categorized as follows：excellent in 5 patients, good in 5, improved in 2, and poor in 3. The excellent and good rate was 66.67% , and the total effective rate was 80%. Conclusion Currently, surgical decompression remains the treatment of choice for OLF - TSS. The surgical skills are challenging and the incidence of complications is high. It is necessary to take urgent attention to the prevention of complications.