摘要
目的:对不同方向突出的椎间盘从解剖学角度给予区域界定,以便明确分型,利于术式选择。方法:通过对离体干化腰椎的解剖研究,结合临床术中测量及1106例回顾研究,将突出椎间盘进行明确解剖界定之分型。结果:同区域的突出椎间盘产生一组相似的临床表现,基于此,将椎间盘突出症分为5型,即:中央型、偏侧型、椎间管型、椎间管外型及侧方型。分别占发病间盘的334%、51%、85%、45%、24%。结论:解剖界定明确的分型。
Objective:To select suitable surgical procedure,prolapsed discs with different directions were bounded and classified.Methods:Anatomic study of dried sample of lumbar spine combined with interoperative measurement and retrospective study of 1106 cases of lumbar disc herniation was performed.The prolapsed discs were bounded and classified definitively according to passage way of lumbar spinal nerve roots,the anatomic location of the herniated part of lumbar disc.Results:Certain located herniation produced a group of similar symptoms.All herniated lumbar discs were classified into five types:central herniation,hermilateral herniation,foraminal herniation,extraforaminal herniation and lateral herniation.Their proportion in 1 106 cases were respectively 33 4%,51%,8 5%,4 5% and 2 4%.Conclusion:The classification of herniated lumbar discs is important to clinical diagnosis and treatment of the disease.
出处
《中国矫形外科杂志》
CAS
CSCD
1999年第4期251-253,共3页
Orthopedic Journal of China
关键词
椎间盘突出
解剖学分型
极外侧突出
Disc herniation Anatomic classification Extreme lateral disc herniation.