腰椎间孔狭窄的定位诊断与治疗  

The Local ization Diagnosis.and Treatmentof Lumbar In tervertebral Foramen Stenosis

作　　者：许纬洲 夏时中 郑季明 许希绍 王玉萍 邓小柱 

机构地区：[1]河南义马矿务局总医院骨科

出　　处：《中华骨科杂志》1994年第4期206-209,T001,共5页Chinese Journal of Orthopaedics

摘　　要：本文报告了腰椎间孔狭窄１２例的定位诊断与治疗结果。压力下硬膜外腔碘苯酯造影所显示受累节段的椎间孔狭窄程度经手术证实，定位诊断符合率１００％。采用椎间孔扩大成形术治疗获得满意效果。对定位诊断及治疗方法的选择进行了讨论。作者认为：腰椎退行性变引起的多个椎间孔狭窄，压力下硬膜外腔造影术可显示受累节段神经根在每个椎间孔段的形态特点，为制定手术方案提供依据。椎间孔扩大成形术有效保护了腰椎小关节，可防止术后腰椎不稳的发生。AbstractThe authors reported the results of localization diag-nosis and treatment of 12 cases of lumbar intervertebral foramen stenosis.The degree of intervertebral foramennarrowing were shown by eplduragraphy with myodil un-der pressure,and the condition was confirmed in surgicalex ploration,The accuracy of localzation diagnosis was100/,Satisfactory results were obtained following inter-vertebral foramen enlargement Drocedure. when foramensricture occurred in more than one intervertebral forami-na caused by lumbar vertebra degeneration,epiduragra-phy under pressure may show the form and the character-istics of every intervertebral foramen,which provides thefoundation for surgical planning.The procedure offoram in oplasty can effectively protect the facet joint ofthe lumbar vertebra and prevent the instability after theoperation.

关 键 词：椎间孔狭窄 腰椎 造影术 成形术 

分 类 号：R681.57[医药卫生—骨科学]