老年性腰椎间盘突出症诊断和治疗特点——附56例临床报告

Diagnosis and treatment characters of senile patients with lumbar disc protrusion (A report of 56 cases)

目的 研究老年性腰椎间盘突出症的临床表现和治疗的特点。 方法 回顾分析近 10年来经手术治疗 ,资料完整的 5 6例老年性腰椎间盘突出症。 结果 在随访平均 4年的 48例中 ,优良率为 85 .4% (41/ 48)。 结论 老年性腰椎间盘突出症病史长 ,症状不典型 ,CT能明确诊断。在控制合并症的基础上选择适当的麻醉 ,行半椎板切除、全椎板切除椎管扩大髓核摘除手术 。

Objective To investigate the clinical characteristics and treatment of senile patients with lumbar disc protrusion . Methods The clinical data of 56 cases of senile lumbar disc protrusion from 1990 to 2000 were reviewed retrospectively. Results 48 patients had been followed for 6 months to 7.5 years with average 4 years. Excellent and good results were 41 cases (85.4%).Conclusions There was atypical symptom in the senile patients with lumbar disc protrusion. CT was an important methods for diagnosis. The after concomitant diseases were controlled, resecting half vertebral lamina and enlarging fenestration were performed. The therapeutic results were satisfactory.