老年性腰椎管狭窄症61例诊治体会  

Diagnosis and surgical treatment of lumbar spinal stenosis in 61 elderly patients

作　　者：杨长山[1] 杨春露[1] 马承斌[1] 

机构地区：[1]武警辽宁省总队医院骨科,沈阳110032

出　　处：《中华神经医学杂志》2006年第10期1032-1033,1039,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨老年性腰椎管狭窄症的临床特点、诊断及治疗效果。方法回顾性分析我科收治的61例老年性腰椎管狭窄症患者,多采用外科治疗,术式分别采用椎板切除、开窗减压以及内固定等手术方法。结果绝大多数患者术后取得满意疗效。61例获随访,平均31个月,优良者57例。结论老年性腰椎管狭窄症多由退行性变引起。合理的外科治疗一般可以获得满意疗效,但术前应明确指征,根据不同病变特点选用相应的术式。Objective To investigate the clinical characteristics, diagnosis and therapeutic efficacy of the lumbar spinal stenosis in the elderly patients. Methods In our department, 67 cases were treated and retrospectively analyzed. Vertebral plate resection, decompression by fenestration and lumbar internal fixation were adopted according to the patients＇characteristics. Results Satisfactory curative effects were obtained in most patients. In the 61 cases who accepted follow-up, 57 cases （88.9%） had an excellent prognosis. Conclusion The incidence of lumbar spinal stenosis is higher in the aged people and degeneration of the lumbar vertebrae is common. Most patients with the lumbar spinal stenosis can take surgical treatment. Surgeons should choose reasonable operative modes according to the patients＇ states and identify the indications before operation, by which curative effects can be insured in most patients with lumbar spinal stenosis.

关 键 词：老年性腰椎管狭窄症 诊断 外科治疗 

分 类 号：R681.5[医药卫生—骨科学]