腰椎间盘突出合并腰神经根管狭窄症（附50例分析）

Lumbar Intervertebral Disc Herniation with Stenosed Lumbar Neurocanal(A Report of 50 Cases)

本文报告50例腰椎间盘突出合并腰神经根管狭窄症,采用扩大式开窗手术。术后随访1～3年,结果优42例,进步7例,优良率87.5％。坐骨神经牵拉试验后出现持续性疼痛是本症与单纯椎间盘突出症的不同之处,并强调术后的稳定治疗。作者认为,把腰椎间盘突出合并腰神经根管狭窄症作为一个完整的疾病名称提出,对于提高治愈率和远期疗效有较重要的临床价值。

This study reported 50 cases of lumbar intervertebral disc herniation with stenosed lumbar neurocanal. All patients underwent enlarged fenestration. One year to 3 years follow-up of 50 cases showed 42 cases as excellent, 3 cases as fair. 87. 5% of the cases were excellent and good. Continuous pain after Laseque' s test differentiated the syndrome from aimple lumbar intervertebral disc herniation. postoperative stabile treatment was emphasized. The authors considered lumbar intervertebral disc herniation with stenosed lumbar neurocanal might be defined as andisease entity and it was very important in decision of cure rate and late result.