后路脊柱内窥镜治疗老年性腰椎管狭窄症  

Treatment of lumbar spinal stenosis in the elder by micro endoscopic discectomy

作　　者：张文财[1] 李志忠[2] 原超[1] 杨晓光[1] 刘洪江[1] 郭星[1] 

机构地区：[1]广州中医药大学第三附属医院脊柱科,广东广州510240 [2]暨南大学第一附属医院骨科

出　　处：《中国骨伤》2011年第5期408-410,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨应用后路脊柱内窥镜治疗老年性腰椎管狭窄症的治疗效果。方法:自2003年12月至2009年12月,应用后路脊柱内窥镜系统治疗腰椎间盘突出伴椎管狭窄症患者376例,其中60岁以上47例(12.5%),43例老年患者获得随访,男27例,女16例;年龄60～91岁,平均68.3岁。病程3个月～15年,平均3.5年。按Nakai评定标准从症状和体征方面评定临床疗效。结果:43例患者术后获得随访,时间3个月～6年。术后切口无感染,均I期愈合。按Nakai评分标准,优26例,良12例,可5例。结论:采用后路脊柱内窥镜手术治疗老年性腰椎管狭窄症具有损伤小、恢复快且神经根减压彻底等优点。只要严格掌握适应证,能取得满意的治疗效果。Objective：To explore the clinical effects of micro-endoscopic discectomy （MED） in treatment of lumbar spinal stenosis in the elder. Methods：The data of 376 cases of the lumbar spinal stenosis were treated by MED from December 2003 to December 2009,47 cases of them aged above 60 years old. Of them, 43 old patients were followed up for 3 months to 6 years. There were 27 males and 16 females ,with an average age of 68.3 years old ranging from 60 to 91 years. The average age was 68.3 years. The course was from 3 months to 15 years （averaged 3.5 years）. The clinical effects of postoperarion were observed and evaluated according to Nakai standard. Results：Forty-three patients were followed up for 3 months to 6 years. The incision of all the patients had no infection and achieved primary healing. The clinical effect of the patients were evaluated by Nakai standard. The results were excellent in 26 cases,good in 12, fair in 5. Conclusion： MED has characteristics of less injury, fast recovery and thorough decompression to nerve roots. It is a kind of good method for treating lumbar spinal stenosis in the elder if the indication were grasped strictly.

关 键 词：腰椎 椎管狭窄 内窥镜 椎间盘切除术 老年人 

分 类 号：R681.57[医药卫生—骨科学]