后路锚定法单开门治疗颈椎管狭窄症37例

颈椎管狭窄症是脊柱外科的常见病和多发病。我科在2006年6月～2011年6月,采用后路锚定法单开门椎管扩大成形术治疗颈推管狭窄患者37例,手术效果满意。现报道如下。

后正中开门加植骨固定术治疗颈椎椎管狭窄症

目的 选择一种后路手术治疗椎管狭窄症较理想的方法。方法 采用不切除棘突 ,用线锯从后正中线锯开棘突、椎板及黄韧带 ,扩大椎管 ,锯开的棘突间植入骨块并加以固定 ,治疗颈椎管狭窄 9例。结果 JOA评分平均改善率达 88% ,并且无明显手术并发症 ,植骨融合良好。结论 线锯后正中开门加植骨固定术治疗椎管狭窄症是一种方法简便 ,减压彻底 。

推拿后的腰椎间盘突出症44例治疗体会

本文报道了手术治疗经推拿后的腰椎间盘突出症４４例，取得了满意效果，探讨了推拿后突出髓核的改变和临床表现。笔者认为经推拿等非手术治疗无效或合并椎管狭窄的病例，仍以手术摘除髓核，缓解神经压迫为好。

Therapeutic effect of tuina combined with Jin Gui Shen Qi Decoction on lumbar spinal stenosis

Objective：To study the effect of tuina combined with Jin Gui Shen Qi Decoction on lumbar spinal stenosis. Methods： In the prospective study, seventy outpatients were divided into a treatment and a control group, 36 cases in the treatment group and 34 in the control group. The treatment group was treated with tuina combined with Jin Gui Shen Qi Decoction, but the control group was treated using tuina alone. The therapeutic effect was evaluated using Japanese Orthopaedic Association （JOA） score. Results： No significant difference in JOA score was found between the two groups before treatment （P〉0.05）, but significant improvements were found in both groups after treatment and at the final follow-up （P〈0.05）, and the JOA score in the treatment group was significantly higher than that in the control group （P〈0.05）. After treatment and at the final follow-up, the therapeutic effect in the treatment group was significantly better （P〈0.05）. Conclusion： Tuina combined with Jin GuiShen Qi Decoction was more effective than tuina alone for lumbar spinal stenosis.