腰椎管狭窄症31例诊断与治疗

Diagnosis and Treatment of 31 Cases with Lumbar Spinal Canal Stenosis

目的 探讨腰椎管狭窄症的诊断与治疗。方法 对 3 1例手术患者临床资料进行分析。结果 本组 3 1例均为继发性腰椎管狭窄 ,其中 2 9例为退行性变型。 2 3 % (7/ 3 1 )同时合并颈、胸椎管狭窄。 2 9% (9/ 3 1 )合并椎间盘突出。椎管造影优点多。治疗中存在误区。结论 椎管造影是不可取代的腰椎管狭窄症诊断方法。避免重手法推拿按摩或大重量牵引和反复椎管内封闭 ,合并颈、胸椎管狭窄者需分期手术。充分。

Objective To study te diagnosis and treatment of lumber spinal canal stenosis Methods The clinical data of 31 cases with lumbar spinal canal stenosis were analyzed Results 31 cases were all ill with secondary lumbar spinal canal stenosis Among them 29 cases were with retrograde distortion, 23%(7/31)were complicated with cervical, thoracic spinal canal stenosis, 29%(9/31)were complicated with protrusion of intervertebral disc Spinal canal myelography had many advantages Con clusion Spinal canal myelography is a reliable method in the disgnosis of lumbar spinal canal stenosis The cases complicated with cervical, thoracic spinal canal stenosis should be operated on by stages and the key to raise the curative effect is a thorough decompression and to pay more attention to the leteral spinal canal stenosis