摘要
目的探讨腰椎管狭窄症的手术指征和术式选择，并对其疗效进行比较。方法回顾性分析2003年至2007年治疗的腰椎管狭窄症患者173例，平均年龄65．8岁，病程9个月～21年。根据病情分别采用椎板减压＋横突间植骨融合术（A组），全椎板切除减压＋横突间植骨融合＋椎弓根钉棒系统内固定术（B组）。结果术后随访7个月～4年，平均2年3个月。两种手术方法优良率分别为84．5％、82．9％。结论只要掌握好手术指征和手术技巧，选择适当的手术方式，各种类型的腰椎管狭窄症均可获得满意疗效：
Objective To evaluate the different surgical procedures for lumbar spinal stenosis, the surgical indications, and compare the curative effectiveness. Methods A total of 215 patients with lumbar spinal canal stenosis from 2003 to 2007 were analyzed retrospectively. The average age was 65.8 years, and the average disease duration was 9 months to 21 years. In group A,97 patients were treated with the laminectomy（ plus the intervertebral fusion）. In group B ,76 patients were subjected to laminectomy,the intervertebral fusion in combination with pedicle screw system internal fixation. Results A total of 173 patients were followed up for 7 months to 4 years（ mean 2 years and 3 month）. The satisfactory rate in groups A and B was 84.5% , and 82.9% respectively. Conclusion The results of the different surgical procedures for different types of lumbar spinal stenosis are satisfactory. The strict surgical indications, the skilled surgical technique ,and the proper surgical procedures are the key to the curative effectiveness with less complications.
出处
《临床外科杂志》
2009年第7期475-476,共2页
Journal of Clinical Surgery
关键词
腰椎椎管狭窄症
手术
植骨融合
内固定
lumbar spinal stenosis
surgical operation
fusion
internal fixatio
