腰椎侧隐窝狭窄三联症

The Trilogy of Lateral Recess Stenosis of Lumbar Vertebral Canal

本文报告13例手术证实腰椎管狭窄、椎间盘突出、侧隐窝狭窄同时存在的病例。认为三种疾病的共同影响使神经根严重受压而且无退避余地,形成恶性循环。尤其是侧隐窝及其外侧的椎间孔是神经根最易受压的关隘。作者提出“腰椎侧隐窝狭窄三联症”的概念,以揭示三者之间的病理联系,突出侧隐窝狭窄是决定病情轻重的重要因素。有利于提高临床诊断时的警觉性和避免手术探查时疏忽遗漏。

Lateral recess stenosis of lumbar vertebral canal is closely related to pathologic change of surrounding tissues. If hypertrophy happened at any part of lateral recess.it would lead to stenosis. Besides simple lateral recess,lumbar vertebral canal stenosis and intervertebral disc prolapse are the most common causes which lead to stenosis of lateral recess. In clinic,some patients have all the three lesions. In this condition, pathology,symptoms,physical sign.diagnosis and treatment are different from simple lateral recess stenosis. In our hospital. 13 cases of trilogy of lateral recess stenosis of lumbar vertebral canal were operated. The author proposed the conception of trilogy and discussed.