有限化手术治疗腰椎间孔狭窄  

A limited surgical treatment in the intervertebral foramen stenosis

作　　者：王玉记 王海蛟 孙秋亚 许纬洲 

机构地区：[1]河南省漯河市第一人民医院关节脊柱科

出　　处：《河南医学研究》1999年第2期160-162,共3页Henan Medical Research

摘　　要：目的：探讨腰椎间孔狭窄的定位定性诊断方法及有限化手术操作技术。方法：对２３例患者采用腰椎硬膜外腔造影及造影后ＣＴ检查，明确腰椎间孔定位定性诊断，对所有患者行有限化腰椎间扩大成形术。结果：硬膜外腔造影及造影后ＣＴ检查所示椎间孔狭窄部位、程度等均经手术证实。术后所有患者获得满意疗效。结论：硬膜外腔造影及造影后ＣＴ检查可定位、定性诊断腰椎间孔狭窄，有限化椎间孔扩大成形术最大限度保护了腰椎小关节，对脊柱的三柱结构稳定性影响较小，对防止术后腰椎不稳的发生有重要意义。Objective: To study the localized and qualitative diagnostic methods and limited operative techniques of lumbar intervertebral foramen stenosis. Methods: In 23 cases peridurography were performed, the localized and qualitative diagnoses of intervertebral foraminal stenoses were made. The limited foraminotomy were performed in the cases. Results: The findings by a bove examinations were confirmed by the poerations in all cases. The satisfactory results were confirmed by the operations in all cases. The satisfactory results were obtained in all cases. Conclusion: Peridurography and CT evaluations after the peridurography were a valuable methods in diagnoses of localization and qualities of intervertebral foraminal stenoses. Limited foraminotomy produces minimal trauma to spinal threecolumn structure and prevents occurrence of lumbar spinal unstabilization after operation.

关 键 词：腰椎间孔狭窄 有限化手术 CT 

分 类 号：R681.505[医药卫生—骨科学]