伴椎间盘突出胸腰段椎管狭窄症临床研究进展  

Clinical Research on Spinal Stenosis of Thoracolumbar Region Combined with Interverbral Disc Herniaion

作　　者：黄徐兵[1] 刘振华[1] 牛国旗[1] 

机构地区：[1]蚌埠医学院第一附属医院骨科组织移植安徽省重点实验室,安徽蚌埠233004

出　　处：《解剖与临床》2010年第2期139-141,共3页Anatomy and Clinics

摘　　要：目的：探讨伴椎间盘突出的胸腰段椎管狭窄症的临床诊断及治疗.方法：查阅近年来国内外相关文献进行综合分析.结果：伴椎间盘突出的胸腰段椎管狭窄症以退变为主,常伴有脊柱后凸畸形,以躯体和下肢感觉障碍、下肢无力和括约肌功能障碍等为常见表现,具有一定的定位体征,临床诊断困难,手术危险性大, 并发症多.结论：诊断应临床结合影像学检查,确诊后多需手术治疗.手术术式因病变位置以及受累节段的不同而不同.Objective：To discuss the clinical diagnosis and treatment of the spinal stenosis of thoraco- lumbar region combined with intervertebral disk hernia. Methods：Comprehensive analysis on relevant literature at home and abroad in recent years has been carried out. Results： Degeneration is the major manifestation of the spinal canal stenosis of thoraeolumbar region combined with intervertebral disk hernia, often accompanied by kyphosis. The common clinical symptoms consist of sensory disturbance in lower limbs and trunk, weakness of lower limbs, dysfunction of sphincter etc. The disease has site-specific physical signs, but is difficult to diag- nose. And it has more surgical risks and postoperative complications. Conclusions ： The diagnosis of the spinal stenosis of thoracolumbar region combined with intervertebral disk hernia depends on clinical presentation and imaging examination. Surgical treatment must be used after clinical diagnosis. It will be easier to select the ap- propriate surgical methods according to the locations of lesion and affected segments.

关 键 词：胸腰段 椎管狭窄 椎间盘突出 后凸 内固定 

分 类 号：R687.3[医药卫生—骨科学]