摘要
目的 探讨颈椎管和腰椎管狭窄同时存在的临床特点及诊治方法。方法 颈椎管和腰椎管狭窄同时存在的患者27例，单独颈椎手术9例，单独腰椎手术7例，颈椎及腰椎都接受手术治疗11例。结果 22例患者获得随访，随访时间为5个月至8年6个月，平均49个月。以主要症状为主的患者随访16例，日本骨科学会（JOA）评分由术前平均（8．6±0．2）分，提高到术后2周平均（11．7±0．3）分，术后3个月平均（13．1±0．2）分，术后6个月平均（13．5±0．2）分，术后12个月平均（13．9±0．3）分。术后12个月随访时患者改善率79．2％，优良率93．8％（15／16）。结论 多节段椎管狭窄的治疗应该坚持个体化原则，分清主要及次要病灶，如果没有明显主要病灶可先行颈段手术。
Objective To investigate the clinical character and treatment method of the coexistence of cervical and lumbar spinal stenosis. Method Twenty-seven eases with coexistence of cervical and lum- bar spinal stenosis, 9 eases with single cervical operation, 7 eases with single lumbar operation, 11 combined cervical and lumbar operation. Results Twenty-two eases were followed-up, average 49 months, all eases were recorded with JOA score. JOA score was （8.6 ± 0.2） scores preoperation, （11.7± 0.3 ）scores 2 weeks postoperation, （13.1±0.2）scores 3 months postoperation, （13.5 ±0.2）scores 6 months postoperation, （13.9 ± 0.3）scores 12 months postoperation. Relief rate was 79.2%, satisfactory rate was 93.8%. Conclusions The patient with multi-segment spinal stenosis should be treated individually, to certain responsible focus. If no responsible focus, it is better to treat with cervical spinal operation first.
出处
《中国医师进修杂志（外科版）》
2008年第6期20-21,共2页
Chinese Journal of Postgraduates of Medicine
关键词
颈椎
腰椎
椎管狭窄
Cervical vertebrae
Lumbar vertebrae
Spinal stenosis
