退行性腰椎椎管狭窄症的治疗研究进展

Research Progress in the Treatment of Degenerative Lumbar Spinal Stenosis

腰椎管狭窄症(Lumbar spinal stenosis,LSS)是导致腰腿痛、腰椎功能障碍等常见腰椎病的病因之一,临床上以退行性腰椎管狭窄症为主(Degenerative lumbar spinal stenosis,DLSS),主要临床表现为出现腰腿痛、间歇性跛行等症状,步行、站立时加重,踩自行车或下蹲休息后无不适症状。由于目前没有一个公认的诊断标准,因此主要通过症状、体征、影像学来综合诊断该病。目前临床上治疗方法诸多,主要分为保守治疗与手术治疗,文章通过检索文献资料,就目前两种主要的治疗方式进行综述,以期为临床提供治疗思路。

Lumbar spinal stenosis(LSS) is one of the most common causes of lumbar disease, such as lumbar leg pain and lumbar dysfunction. Clinically, degenerative lumbar spinal stenosis(DLSS) is the dominant condition. The main clinical manifestations are:lumbago and leg pain, intermittent claudication and other symptoms, aggravated when walking or standing, no discomfort after riding a bicycle or squatting. At present, there is no recognized diagnostic standard, so the disease is comprehensively diagnosed mainly through symptoms, signs and imaging. At present, there are many clinical treatment methods, mainly divided into conservative treatment and surgical treatment. This paper reviews the two main treatment methods by retrieving literature, in order to provide clinical treatment ideas.