腰椎间盘突出症并侧隐窝狭窄手术的中远期疗效观察  

Medium and long-term outcomes of operation on lumbar disc herniation with lateral recess stenosis

作　　者：朱正华 李承球[2] 赵宝成 徐爱军 司马义柱 

机构地区：[1]南京康爱医院骨科,江苏南京210037 [2]南京鼓楼医院骨科,210008

出　　处：《颈腰痛杂志》2011年第6期425-426,共2页The Journal of Cervicodynia and Lumbodynia

摘　　要：目的评价腰椎间盘突出合并侧隐窝狭窄患者术后的中远期疗效。方法随访1998-10-2005-12进行腰椎间盘突出合并侧隐窝狭窄手术的患者86例,随访时间60~142个月,平均随访105个月。结果按日本Nakai标准,本组优69例（80.2%）,良13例（15.1%）,可4例（4.7%）,优良率95.3%。结论在手术中同时解决好腰椎间盘突出和侧隐窝狭窄两个问题,预防神经根粘连,加强腰肌锻炼,腰椎间盘突出合并侧隐窝狭窄手术可取得满意的中远期疗效。Objective To evaluate the medium and long-term efficacy of operation on lumbar disc herniation with lateral recess stenosis.Methods Eighty-six patients,who underwent the operation from October 1998 to December 2005,were followed-up from 60-142 months（average 161 months）.Results The evaluation with Nakai scale revealed excellent in 69 cases（80.2%）,good in 13（15.1%）,fair in 4（4.7%）.Conclusion The medium and long-term outcome of the operation,which solved two problems of lumbar disc herniation and lateral recess stenosis simultaneously,was favorable To prevent nerve root adhesion and strength lumbar muscle practice.

关 键 词：腰椎间盘突出 侧隐窝狭窄 手术 随访研究 

分 类 号：R681.53[医药卫生—骨科学]