急性腰椎黄韧带皱褶嵌入椎管狭窄症的手术治疗  

Surgical Treatment of Acute Lumbar Spinal Canal Stenosis Inlaid of Liqamenta Flava

作　　者：陈鸿儒[1] 董炘[2] 

机构地区：[1]暨南大学附属第一医院骨科,广东省广州市510630 [2]暨南大学医学院解剖教研室

出　　处：《中国骨与关节损伤杂志》2007年第11期881-883,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨无椎间盘突出症(LDH)的急性腰椎黄韧带皱褶嵌入椎管狭窄症的手术治疗远期疗效。方法解剖人脊柱腰骶段35例,对黄韧带的后方毗邻及椎板内聚黄韧带皱褶嵌入作了较细致的观察,同时手术探查无椎间盘突出症者行小切口椎板内聚黄韧带皱褶突出处切除椎管减压术。结果观察的人脊柱腰段35例,对黄韧带的分布,建议使用"盘-黄间隙"一词并对国内外LDH插图提出修改意见。对224例LDH中28例急性腰椎黄韧带皱褶嵌入椎管狭窄症者行手术治疗。随访5～12年,本组治愈率为89.3%。结论探查腰椎无椎间盘突出时,应考虑到由于椎板内聚而致黄韧带皱褶的嵌入所致的类似腰椎间盘突出症症状。但有合并症者应同时处理。本术式是一种远期疗效较高的安全及微创手术。Objective To analyze the clinical results of surgical treatment of acute lumbar spinal canal stenosis inlaid of the ligamenta flava and non lumbar disc herniation （LDH）, with long - term follow - up evaluation. Methods Thirty - five lumbosacral segments of the spinal columns were dissected. The lumbar folds of ligamenta flava inlaid with vertebral canal stenosis were removed and decompressions were performed using small incision. Results Thirty- five lumbosacral segments of the spinal columns were divided and illustration of the ligament flava were commented and a new idea was presented in the abroad and at home. ＂Interdiscoligamentous space＂ was suggested applications. Surgical treatment was used in 28/224 patients with acute lumbar fold of ligamenta flava inlaid. All the patients were followed up for 5 years to12 years. The excellent and good rate was 89.3% and most of them were restored. Conclusion The lumbar fold of ligamenta flava inlaid with vertebral canal stenosis is surgically treated if there is no LDH. At the same time complications should be surgically treated if applicable. It is a safe and minimally invasive procedure with the long- term effectiveness.

关 键 词：黄韧带皱褶 椎板内聚 切除减压 无椎间盘突出 

分 类 号：R681.53[医药卫生—骨科学]