1360例腰椎间盘突出症和腰椎管狭窄症的手术疗效

Surgical treatment of 1360 lumbar disc herniation and lumbar spinal stenosis

目的 :通过 136 0例手术治疗腰椎间盘突出症和腰椎管狭窄症 ,总结手术方法的选择及体会。方法 :术前经过各种检查方式严格定性诊断 ,对病人病变部位给予精确定位 ,手术方式采取因人而异的个性化选择 ,手术中精心操作及术后防粘连及抗感染等措施 ,达到预期目的。结果 :①患者症状消失 ,优良率达 97.9% ;②手术方式以单侧显露为主 ,做半椎板切除或开窗扩大法 ;特殊病变 ,特殊方式 ;③手术必须彻底解除侧隐窝狭窄及压迫。结论 :对用非手术疗法无效或反复加重者 ,手术治疗是唯一的选择 ,且手术效果良好 ,手术方案以解除病变、减少创伤为原则。

Objective:To conclude the selection of operation pattern and successful experience of 1 360 lumbar disc herniation and lumbar spinal stenosis.Methods:the operation pattern was chosen according to individual condition after strict disgnosis and precisely locating the lesion. The adhesion prevention and anti-infected measures were adopted during and after operation.Results:①97.9% patients recovered excellently.② Most of the operations were hemilaminectomy or fenestration through unilateral exposure, the special cases were treated by special pattern. ③The stenosis and compression of lateral recess were relieved completely.Conclusion:Surgical treatment is the only choice to the patients who have been treated inefficiently by non-surgery or the one who have been aggravated repeatedly, the operation design should be based on the principle that is to eliminate the lesion and reduce the trauma.