摘要
本文报告了1985年~1994年的178例腰神经根管减压术.该组病例腰神经根的致压因素中,腰椎间盘突出53例,腰椎间盘膨出合并黄韧带肥厚48例,关节突增生28例,椎体后缘 增生19例,纤维粘连带压迫11例.椎体假性滑脱15例,神经根袖囊肿4例.其中158例术后经平 均4.8年的随访,疗效优良率95.0%。该手术的要点是针对致压因素,彻底解除神经根压迫.优点 为神经根减压充分,并保护了脊柱的稳定性。
From 1985 to 1994, 178 cases with lumbar nerve root canal stenosis were treated by decompression. In this series. the factors by which the lumbar nerve roots being compressed were 53 cases of lumbar dise herniation .48 cases of lumbar disc bulge accompanied with hypertrophy of ligamentum flavum. 28 cases of hyperplasis posterior side of lumbar spine, 11 cases of fibrose compression, 15 cases of lumbar pseudo spondylolisthesis,4 cases of nerve root neurilemml cyst. Among them 158 cases were followed-up for 4 years and 8 months in average. The excellent and good rate was 95. 5%. The key of operation was to release the nerve root completely,to decompress the nerve root canal completely. It's superiority was to decompress the nerve root adequately and the stability of lumbar spine was maintained.
出处
《颈腰痛杂志》
1997年第1期20-21,共2页
The Journal of Cervicodynia and Lumbodynia
关键词
腰神经根管狭窄
腰椎
椎间盘突出
减压术
lumbar nerve root canal stenosis
lumbar disc herniation
decompression
lumbar spinal instability.