摘要
目的 :分析老年腰椎管狭窄合并椎间盘突出的原因、诊断和手术治疗的方法及效果。方法 :回顾分析我科1993～ 1998年间收治并手术治疗 42例的临床资料。结果 :随访 36例。时间 6个月～ 4年 ,平均 2 2个月。优良率 86 .1%。结论 :腰椎及周围组织结构有退变和长期的代偿以及可能的外伤是造成本病的主要原因。腰腿痛、间歇性跛行、肢体感觉障碍是本病的三个典型症状。影像学检查具有明确诊断的作用。保留脊柱后结构的髓核摘除、椎管扩大减压的手术效果是满意的。
Objectives:To analysed the cause and diagnostic method of lumbar-spinal stenosis accompanied with lumbar disc herniation as well as the effect of it in old patients.Methods:To analyse the clinical data gathered from 1993 to 1998 of 42 cases treated operatively in our department retrospectively.Results:36 cases were follwed up from 6 months to 4 years.The average time was 22 months.The rate of good results was 86.1%.Conclusion:The main causes of the disease might be of the retrogressive metamorphosis,compensation of lumbar at long-time and possible elements of injury.Low back and leg pain.extremity numbness and intermittent claudication are three of the typical symptoms of this disease.The radiologic examinations can make sure of diagnosis.The effect of operation that remained spinal posterior elements of nuclears pulposus extraction and partial hemilaminectomy decompression is satisfactory.
出处
《实用骨科杂志》
2002年第1期4-6,共3页
Journal of Practical Orthopaedics
