腰椎管扩大成形术──椎板截骨再植与棘突植骨的临床应用  

Extcnsive Plasty of the Lumbar Canal:Clinical Appl ication of Lalnina Osteotomy Replantation and Spinous Process Replantation

作　　者：王永惕[1] 陈增海[1] 李牧[1] 郑燕平 

机构地区：[1]山东医科大学附属医院骨科

出　　处：《中华骨科杂志》1995年第10期644-647,共4页Chinese Journal of Orthopaedics

摘　　要：腰椎管扩大成形术，系切除内侧部分关节突、扩大侧隐窝，将截下的椎板再植，使椎管之后壁后移以扩大椎管、保持椎弓后部结构完整并着重防止术后粘连，主要用于治疗腰椎间盘突出症、腰椎管狭窄症或二者并存的病人。临床应用８５例，其中椎板截骨再植６８例，随访１年以上者２７例，结果优２１例、良５例、可１例。棘突植骨９例，随访１年以上者３例，优、良、可各１例。半侧棘突与椎板截骨再植８例，随访１年以上者２例，皆优。AbstractExtensive plasty of the lumbar spinal canal in-cludes partial removal of the facet ol the articular pro-cess to enlarge the lateral recess,and then to performlamina replantation。The lamina is positioned a littlebit backward to enlarge the spinal canal.The integration of the structure of the posterior portion of thespinal arch was then kept and scar tissue adhesion pre-vented.This method was used for the treatment ofdisc herniation,stenosis of the spinal canal or thecombined condition,Totally,there were 85 cases,in-cluding 68 cases of laminotomy and replantation.27cases were followed up for more than one year.Theresults in 21 cases were excellent,5 good and 1 fair.Spinous process plantation was done for 9 cases,and 3vvere followed up for more than one year;the resultswere respectively excellent,good and fair。Hemi-spinous process and lamina osteotony and replantationwere done in 8 cases,2 cases were followed up formore than one year,both had excellent results.

关 键 词：椎管神经压迫 扩大成形 腰椎管 椎板截骨 再植 

分 类 号：R681.505[医药卫生—骨科学]