摘要
１９８６年以来，使用开窗减压术治疗中央型腰椎管狭窄症１１６例，１０６例（９１．３％）得到随访，随访１～９年，优良率达９７．２％，仅１例（０．９％）发生术后腰椎不稳。该手术损伤小，在较大程度上保留了腰椎后部结构的完整性，从而达到防止术后腰椎不稳和神经疤痕粘连之目的。虽然局部开窗减压范围小，但通过腰椎两侧对称性和多节段开窗，椎管可得到充分减压。临床应用表明该法较传统的椎板切除术疗效好。
Since 1986,116 cases of central lumbar spinal stenosis have been treated with fenestration decompression.106 cases(9.3%)were followed-up for one year to nine years.The rate of excellent or good results was 97.2% Lumbar spine instability at the operated level occurred in only 1 case(0.9%).The fenestration yield less trauma,maintained the integrity of the posterior structure of the lumbar spine.The goal of preventing postoperative lumbar spinal instability and scar tissue adherent to dura and nerve root could be obtained.Although the extent of decompression was limited,the spinal canal could be decompressed sufficiently by bilateral and multi-segmental fenestation.This method has been proved better than the traditional laminectomy.
出处
《中国矫形外科杂志》
CAS
CSCD
1996年第2期103-105,共3页
Orthopedic Journal of China
