摘要
采用单纯开窗、间断开窗、连续开窗和交叉开窗潜行减压治疗腰椎管狭窄症173例,随访了168例,优良率达92.7％。不同开窗潜行减压具有手术创伤小,较好地保留了腰椎后部结构,既解除了对马尾和神经根的压迫因素,又维持了腰椎稳定性及其活动程度,减少了瘢痕粘连,达到了椎管减压的目的。临床随访表明不同开窗优于传统的椎板切除术。
173 cases of lumbar spinal stenosis were treated by a simple,interrupted,successive and cross fenestration. A followup of 168 cases showed that 92. 7% of the patients had a excellent and good results. The different decompressions had less trauma for lumbar spine and reserved well integrity of the posterior constructure of lumbar spine, relieved the compression factors (scar tissue adherent) for the nerve root and dura, maintained the stability and mobility of the lumbar spine. The spinal canal can be decompressed sufficiently by the different fenestration. These methods have been proved better than the traditional laminectomy.
出处
《中国矫形外科杂志》
CAS
CSCD
1997年第2期87-89,共3页
Orthopedic Journal of China
关键词
腰椎
椎管狭窄
减压
外科手术
Stenosis, Stability, Decompression, Fenestration.
