腰椎侧隐窝狭窄症的诊断和治疗  

DIAGNOSIS AND TREATMENT OF LATERAL RECESS STENOSIS

作　　者：张钟元[1] 王惠生[1] 林奋[1] 刘中远[1] 

机构地区：[1]上海第二医科大学附属仁济医院骨科

出　　处：《上海医学》1996年第6期315-318,共4页Shanghai Medical Journal

摘　　要：本文报道了手术治疗腰椎侧隐窝狭窄症２１例的结果。其中男１３例，女８例，平均年龄５６．２岁，经１０月～３年６月随访，优良率为８８．９％。本文讨论了侧隐窝狭窄症的病理经过与临床表现的关系，间歇性跛行的病理生理基础以及ＣＴ和ＥＭＧ在本病诊断中的作用。并提出手术治疗的关键是定位要准确，侧隐窝减压要彻底，但不宜任意扩大手术范围，以免不必要地损伤脊柱的稳定性。wenty-one cases of lumbar lateral recess stenosis were treated by surgical interventionfrom Oct 1991 to Jun 1994.Eighteen of 21 cases had been follow-up from 10 months to 42months and showed that good and excellent results were as high as 88.9%. A discussion is made on the relationship between pathological process and clinical pre-sentation of lateral recess stenosis,the pathophysiological basic cause of intern1ittent claudi-cation and the value of CT and electromyogram(EMG)in the diagnosis of this disease,Au-thors point out that the key to the surgical treatment of this disease mainly depends on accu-rate localization and complete decompression on causative stenosed lateral recess,It is unnec-essary to expand operative extent,otherwise the stability of spine may be damaged.

关 键 词：腰椎侧隐窝狭窄 嵌压 诊断 治疗 

分 类 号：R681.5[医药卫生—骨科学]