高龄病人腰椎管狭窄症手术治疗  

Surgical treatment of lumbar spinal stenosis in elderly patients

作　　者：赵汉平[1] 李佩佳[1] 罗永忠[1] 史庆轩[1] 吕游[1] 张锐[1] 

机构地区：[1]解放军第88医院全军骨科中心,山东泰安271000

出　　处：《中国矫形外科杂志》2008年第23期1778-1780,共3页Orthopedic Journal of China

摘　　要：[目的]探讨高龄腰椎间盘突出并椎管狭窄症的临床特点、治疗方法与效果。[方法]36例高龄腰椎间盘突出并椎管狭窄均行手术治疗,行多节段开窗、全椎板切除、椎间盘髓核摘除、后路经椎弓根内固定治疗,对其疗效进行回顾性分析。[结果]所有病例均得到随访,平均随访时间3年6个月,优良率83%。[结论]高龄腰椎管狭窄有其特殊的临床特点,手术方式应因人而异,正确选择手术方法,彻底减压兼顾脊柱稳定性、注重术后的腰背部力量锻炼是影响手术疗效重要因素。[Objective] To discuss the clinical manifestations, treatment, and therapeutic efficacy of lumbar disc herniation complicated by lumbar spinal stenosis in elderly patients. [ Method ] Thirty-six elderly patients with lumbar disc herniation complicated by lumbar spinal stenosis were treated with surgical treatment, including multi-segment fenestration, laminectomy, resection of nucleus pulposus, and internal fixation of pedicle screws. The therapeutic efficacy was retrospectively assessed. [ Result] All patients were followed up with an average time of 3 years and 6 months. The good to excellence results was 83%.[Conclusion] In elderly patients with lumbar spinal stenosis , there are patients have special clinical manifesta- tions. Different operations should be adopted for different patients. There are several important factors that affect the efficacy of operation, including operation modes, sufficient decompression, restoration of spinal instability, and postoperative exercises of lumbodorsal muscles.

关 键 词：高龄 腰椎管狭窄 外科治疗 

分 类 号：R687.3[医药卫生—骨科学]