摘要
报告８６例腰椎间盘突出，６２例（７２．１％）合并侧隐窝狭窄。年龄３６～７３岁，平均４４．５岁。均行腰椎间盘摘除和侧隐窝扩大手术。３例经全椎板切除，５１例半椎板切除，３２例开窗式切除。术后６２例经６个月～２年随访，优３４例（５４．８％），良２１例（３３．９％），可６例（９．７％），差１例（１．６％），优良率为８８．７％。作者认为本病的诊断主要应根据患者年龄、较长的病史、症状和体征而定；手术应同时行侧隐窝扩大术，单纯摘除椎间盘效果往往不好。
AbstractThe authors reported 86 cases of lumbar disc hernia-tion,among which 62(72.1%)has lateral recess steno-sis.The age of the patients ranged from 36 to 73 yearswith an average of 4 4.5 years,all were treated surgical-ly, 3 had total laminectomy,51 had hemilaminectomy and32 laminal fenestration The follow-up peried varied from6 months to 2 years,and the results showed 3 4 cases(54.8%)excellent,21(33.9%)good,6 cases(9.7%)fair and 1(1.6%)poor.The effective rate was as high as88.7%。The authors believe that the diagnosis of this con-dition malniy depends upon the typical history of the pa-tient and the severe clinical symptoms and signs.In orderto get a satisfactory result,the lateral recess should be en-larged duing extraction of the herniated lumbar interve-tebrar disk.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1994年第4期203-205,共3页
Chinese Journal of Orthopaedics
