下胸椎黄韧带骨化减压后效果分析:16例随访  

Treatment of lower thoracic spinal ligamentum flavum ossification after decompression: A follow-up of 16 cases

作　　者：顾树明[1] Hasegawa 马玉泉[1] 强华[1] 王飞[1] 王显军[1] 

机构地区：[1]首都医科大学附属北京同仁医院骨科,北京市100730 [2]日本新瀉脊柱外科中心

出　　处：《中国组织工程研究与临床康复》2008年第33期6579-6582,共4页Journal of Clinical Rehabilitative Tissue Engineering Research

摘　　要：下胸椎黄韧带骨化症患者16例，男9例，女7例，年龄39～75岁。患者临床症状呈多样化，术前影像学检查显示病变及非病变节段的椎间盘为广泛退行性变。均采取后路全椎板薄层减压，保留小关节突外侧1／2。16例患者均获得随访。15例术后症状立即缓解，无术后加重期。1例经过7d的加重期后逐渐缓解，考虑为术中器械震动所致。术后发生脑脊液漏1例，经脑脊液引流和换药愈合。感觉障碍及下肢麻木、疼痛完全恢复12例，大部分恢复2例，部分恢复1例，1例无明显缓解。Sixteen cases of lower thoracic spinal canal stenosis caused by ossification of the ligamentum flavum were recruited, including 9 males and 6 females, with the age of 39-75 years old. The clinical manifestations were various. Wide signs of degenerative changes were shown both in lesion and the non-lesion segments on the preoperative radiograph. All the patients were decompressed using vertebral laminectomy or laminar shelling, remaining half of small articular process. Sixteen cases were followed up. Postoperative symptoms were immediately relieved in 15 cases, without any aggravation. One case appeared symptom remission after 7 days aggravation, which was suspected to result from the vibration of the instrument during operations. The leakage of cerebrospinal fluid was detected in one case, and was then cured by using drainage and dressing. Twelve cases were completely free from sensory disturbance, lower limb numbness and pains. The therapeutic effect was good in 2 cases and fair in l case. Another one case showed no obvious relief.

关 键 词：下胸椎 黄韧带 骨化 

分 类 号：R681[医药卫生—骨科学]