极外侧型腰椎间盘突出症的诊断与治疗  

Diagnosis and treatment of far-lateral lumbar disc herniation

作　　者：王秀军[1] 褚建国[1] 李丽凤[1] 党荣良[2] 

机构地区：[1]唐山工人医院骨二科,唐山063000 [2]唐山工人医院病理科,唐山063000

出　　处：《中国骨肿瘤骨病》2010年第4期330-332,共3页Chinse Journal Of Bone Tumor And Bone Disease

摘　　要：目的探讨极外侧型腰椎间盘突出症诊断与治疗方法。方法回顾分析2002年1月-2005年11月收治的12例极外侧型腰椎间盘突出症患者资料。其中9例为椎孔型,3例为椎问孔外型,L2/31例,L3/45例,L4/55例L5/S11例。手术方法6例采用椎板间入路,3例椎板侧方入路,3例椎板间和侧方联合入路。结果术后12例均获随访6个月-3年,平均16个月。采用中华骨科学会脊柱组腰背痛手术评定标准:优8例,良3例,可1例。结论极外侧型腰椎间盘突出症CT扫描确诊率较高,一经确诊应及早手术治疗。Objective To investigate the diagnosis and treatment of far-lateral lumbar disc herniation. Methods 12 patients who were admitted between January 2002 and November 2005 were involved. Clinical data of all patients were retrospectively analysed. All patients sustained far-lateral lumbar disc herniation. The classification was foraminal （n=9） and extraforminal （n=3）. The affected segments were L2/3 （n=1）, L3/4 （n=5）, L4/5 （n=5）, and L5/S1 （n=1）. 6 patients underwent surgery with interlaminal approach, and 3 with lateral interlaminal approach. Results All patients were followed up for 6 months to 3 years, with 16 months on average. According to the scoring standard for lumbago surgery established by the Chinese Orthopaedic Surgery Society in the Orthopaedic Association of the Chinese Medical Association, the results were excellent （n=8）, good （n=3） and fair （n=1）. Conclusions The high resolution CT scan can achieve higher accurate diagnosis rate for far-lateral lumbar disc herniation. Surgery should be performed as soon as possible once the diagnosis is confirmed.

关 键 词：腰椎间盘突出症 椎间孔 诊断 手术 

分 类 号：R687.3[医药卫生—骨科学]