摘要
椎管狭窄症是脊髓脊柱常见疾病,常与脊柱退行性病变、椎管内内容物病变或外伤等因素有关,发病有增多趋势,治疗技术也在不断发展。多节段受累时,多主张行后路手术治疗,后路手术中椎板成形术与传统椎板切除术相比,具有术后脊柱稳定性好、脊柱畸形及轴性症状发生率低、硬膜粘连致再狭窄少、再次手术易等优点,而较高的术后轴性症状、开门椎板再关闭等影响手术远期疗效。为此许多学者采取各种改良术式,取得了较好的疗效。现就近年来国内外椎板成形术治疗椎管狭窄症术式的进展进行综述。
As a common disease of spine and spinal cord, spinal stenosis is often associated with many factors, such as spinal degenerative diseases and the spinal canal content lesions or trauma. Along with the trend of higher incidence of the diseases, treatment technologies have also been developed constantly and accordingly. When many segments are involved, posterior surgery treatments are recommended, which has the following advantages compared with traditional laminectomy ： better stability of postoperative spinal, relatively low incidence of spinal deformity and axial symptoms,less restenosis resulting from spinal meningeal adhe- sions, easier for the second surgery, and so on. However, it still has high rate of postoperative axial symptom and the reclosure of open-door laminoplasty,which will influence the curative effect in the long term. There- fore, many scholars have adopted all kinds of improved operation and have obtained good curative effect. Here is to make a review on the progress in laminoplasty for the treatment of spinal canal stenosis in recent years at home and abroad.
出处
《医学综述》
2012年第15期2424-2426,共3页
Medical Recapitulate
基金
福建省医学创新科研课题资助项目(2009-CXB-17)
关键词
椎管狭窄
椎板成形术
术式进展
Spinal canal stenosis
Laminoplasty
Operative progTess
