摘要
目的 :总结黄韧带骨化所致胸椎管狭窄症的诊断和治疗特点。方法 :1995年 9月～ 2 0 0 0年 12月手术治疗黄韧带骨化所致胸椎管狭窄症患者 12例 ,男 8例 ,女 4例 ,平均年龄 5 5岁。该病常见于下胸椎 ,临床表现为多椎管狭窄引起的胸髓压迫症 ,其影像学检查具有特征性表现。所有病例均行整块半关节突全椎板切除术。结果 :11例随访 6～6 2个月 ,平均 2 3个月。根据评定标准 ,优 6例 ,良 2例 ,中 2例 ,差 1例 ,优良率 72 .7%。结论 :临床表现结合 MRI和CT检查 ,是诊断胸椎黄韧带骨化的重要手段 ,整块半关节突全椎板切除术为治疗的有效术式。
Objective:To summarize the diagnosis and treatment of thoracic spinal canal stenosis caused by ossification of the ligamentum flavum(OLF).Methods:12 patients with thoracic spinal canal stenosis caused by OLF undergone surgical treatment from Sepember 1995 to December 2000,there were 8 males and 4 females,with the average age of 55 years.The disease usually occured in lower thoracic spine.The clinical features were of cord compression with acquired thoracic spinal canal stenosis.Imaging examinations are of characters.All cases were treated with en bloc hemi-articular process laminectomy.Results:11 patients were followed up form 6 to 62 months with an average of 23 months.According to the criterion,6 cases had excellent results,2 had good results,2 had no change and the other 1 was poor.The excellent and good results was 72.7%.Conclusion:Clinic history and neurological examination associated with MRI and CT was the important means of the diagnosis of OLF,en bloc hemi-articular process laminectomy was an effective surgical approach.
出处
《实用骨科杂志》
2002年第5期325-326,共2页
Journal of Practical Orthopaedics
关键词
黄韧带骨化
胸椎管狭窄症
诊断
手术治疗
OLF
Ligamentum flavum
Ossification
Thoracic spinal canal
Stenosis
Operation
