腰椎软骨板破裂症的诊断与治疗  

Diagnosis and Treatment of Cartilage Rupture Lumbar Disease

作　　者：刘开祥[1] 付梓新[1] 

机构地区：[1]南京医科大学附属淮安第一医院骨科,江苏淮安223300

出　　处：《江西医学院学报》2009年第8期86-87,89,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的探讨腰椎软骨板破裂症的临床特点、诊断和治疗。方法23例腰椎软骨板破裂症患者中，保守治乒2例，单侧扩大开窗3例，双侧扩大开窗8例，半椎板切除5例，全椎板切除5例。结果所有患者均获得8-18个月随访，优良率为91.3％（21／23）。结论腰椎软骨板破裂症以中央型者较多，临床症状多较重；常需手术治疗，彻底减压是减少复发的关键。Objective To explore the clinical characteristics, diagnosis and treatment of Carti- lage rupture lumbar disease. Methods 23 cases patients of cartilage rupture lumbar disease were treated with five different methods respectively as follow：non-surgical treatment in 2 cases, unilateral fenestration in 3 cases, bilateral fenestration in 8 cases, semi lamincetomy in 5 cases and total lamincetomy in 5 cases. Results All patients were followed up for 8 to 18 months,the excellent-good rate reached 91.3%（21/23）. Conclusion Most cases of cartilage rupture lumbar disease are central-type,and their clinical symptoms were usually very severe,they often required surgery,and the key to reduce the recurrence is thorough complete decompression.

关 键 词：腰椎软骨板破裂症 诊断 治疗 

分 类 号：R681.57[医药卫生—骨科学]