退变性腰椎管狭窄症的手术治疗  

Surgery treatment of degenerative lumbar canal stenosis

作　　者：张庆林[1] 冯彩燕[1] 李江[1] 纪军[1] 涂青虹[1] 袁正兵[1] 

机构地区：[1]广东省东莞市桥头医院骨科,523538

出　　处：《中国实用医药》2010年第12期46-47,共2页China Practical Medicine

摘　　要：目的探讨退变性腰椎管狭窄症手术治疗的疗效及其手术适应证。方法回顾性分析2004年1月至2009年8月手术治疗65例退变性腰椎管狭窄症患者,男36例,女29例。平均年龄60.5岁。应用日本骨科学会(JOA)下腰痛手术疗效标准(29分法),对患者进行术前术后评分,计算改善率。结果65例获2～5年随访,平均2年8个月,术后优良率为83.6%。结论老年人腰椎管狭窄症经正规保守治疗无效后应积极手术治疗,根据患者病情和影像学表现,仔细分析确定责任节段和责任因素,选择合适的手术方式,围手术期正确处理,能减少并发症,提高手术疗效。Objective To look into the effect of surgery treatment for the patients with degenerative lumbar canal stenosis（LCS）and the indication for the surgery.Methods65 senile patients（more than 55 years old）with degenerative lumbar canal stenosis who underwent surgical treatment from Jan 2004 to Aug 2009 were analyzed retrospectively.There were 36 males and 29 females in this study and the average age was 60.5 years old.We evaluated all the patients by the Japan Orthopedic Association（JOA）Scoring System for low back pain（LBP）（29 points）pre and post operation concluding the improvement rate.ResultsThe 65 patients were followed up for 2 to 5 years,with average of 2 years and 8 months.The improvement rate of post operation was 83.6%.ConclusionOperations should be used for the patients with senile lumbar canal stenosis who didn＇t respond to the formal conservative treatment.The surgical modality should be chose after carefully analyzing the responsible segments and factors according to the disease history,radiographic manifestation.Proper management in perioperative stage can induce the complication and improve the surgical results.

关 键 词：老年人 退变性 腰椎 椎管狭窄 治疗结果 

分 类 号：R687.3[医药卫生—骨科学]