腰椎间盘突出症非手术治疗失败原因探讨(附46例分析)

The Causes of Failure to Treat the Lumbar Disc Protrusion by Non-Operation(with Analysis of 46 Cases)

本文通过对46例经非手术治疗后疗效不佳而手术治疗,进行非手术治疗的失败原因分析。从手术中证实,除腰椎间盘突出症的病理变化外,有黄韧带增厚、椎板增厚、侧隐窝狭窄、根管狭窄、静脉丛曲张、神经根水肿等病理变化,这些病理变化有二联、三联、四联组合性存在,加重了对神经根和硬膜的挤压,使症状持续不愈,以致非手术治疗难以取得优良效果。对此要细加检查,反复分析研究,明确病因病理,选择有效的治疗方法。

This paper analyses 46 cases of Lumbar disc protrusion who had failure to conservative measures,it were verified by operation that besides lambar disc protrusion,there were also to-exist yellow ligament hyperplasia,vertebral lamina hyper plasia,stenosis of side recess,stenosis of intervertebral foramen,phlebeurysma of internal vertebral venas plexus,edema of nenve root,and so on.There are bilogy,trilogy,tetralogy.These pathologic changes increased the squeeze of nerve root and epidural space. Therefore,those symptoms continued and had failure to non-operative treatment must be carefully examined and analysed,so as to select effective measure.