合并内科病老年腰椎间盘突出症微创开窗手术  

Small trauma technique applied to elderly lumbar disc herniation with medical complications

作　　者：肖奕增[1] 郑文忠[1] 杨德育[1] 符祖昶[1] 黄春福[1] 黄钿锋[1] 

机构地区：[1]解放军第180医院骨科,福建泉州362000

出　　处：《临床军医杂志》2010年第5期716-718,共3页Clinical Journal of Medical Officers

摘　　要：目的 探讨合并内科病的老年腰椎间盘突出症的手术治疗方法. 方法回顾分析2000年1月-2009年3月手术治疗60岁以上且合并内科疾病的老年腰椎间盘突出症56例,手术方法采用小切口椎板间有限开窗髓核摘除,或加侧隐窝扩大术. 结果随访6个月～2年,大部分病人术后恢复理想,优良率达94.3%.结论 对于合并内科病的老年腰椎间盘突出症,采用小切口椎板间有限开窗髓核摘除,或加侧隐窝扩大术,手术创伤小,时间短,操作便捷,术后卧床时间短,恢复快,值得临床推广.Objective To discuss the management of elderly lumbar disc herniation(LDH) with medical complications.Methods The method of small incision,finite vertebral fenestration and lateral recessus enlargement was applied to 56 elderly LDH patients with medical complications in the operation from January 2000 to March 2009.Results In the follow-up ranging 6 months to 2 years,all the patients got excellent and good results.The excellent and good rate was up to 94.3%.Conclusion The method of small incision,finite vertebral fenestration and lateral recessus enlargement applied to elderly LDH patients with medical complications in the operation has the advantage of small trauma,mini-operative time,simple procedure and rapid recovery.

关 键 词：内科病 老年 腰椎间盘突出症 微创 开窗手术 medical lumbar disc HERNIATION 侧隐窝扩大术 髓核摘除 手术治疗 小切口 术后卧床时间 治疗方法 椎板 术后恢复 手术方法 内科疾病 临床推广 回顾分析 创伤小 

分 类 号：R82[医药卫生—临床医学]