侧隐窝扩大在腰椎间盘摘除术中的重要性分析  

Importance of lateral recess enlargement during the procedure of lumbar disk extraction

作　　者：李勇[1] 张连仁[1] 

机构地区：[1]广州中医药大学附属珠海市中医院,广州珠海519015

出　　处：《中国骨伤》2000年第9期524-526,共3页China Journal of Orthopaedics and Traumatology

摘　　要：分析腰椎间盘突出合并侧隐窝狭窄的机理 ,侧隐窝松解对手术疗效的影响 ,探讨临床操作技巧 ,增进对侧隐窝狭窄的认识 ,提高手术疗效的稳定性和避免手术并发症。方法　 180例腰椎间盘摘除手术患者 ,常规采用椎板间开窗术式 ,术中注意对侧隐窝的探查和对神经根的彻底松解 ,灵活掌握术式 ,兼顾脊柱稳定性。结果　 147例获得随访 ,随访时间 6个月至 3年 ,优良 133例 ,好转 11例 ,无效 3例 ,优良率达 90 47%。结论　腰椎间盘突出常合并侧隐窝狭窄 ,手术统计出现率为 5 1 11% ,术中注意侧隐窝的探查和松解 ,同时兼顾脊柱稳定性 。Objective To analyse the mechanism of lumbar disk herniation (LDH) with lateral recess stenosis,evaluate the effect of lateral recess enlargement on the surgical results,explore the operative technique,increase understanding of lateral recess stenosis and to improve lumber spinal stability of surgery and avoid complication.Methods 180 cases of LDH with lateral recess stenosis were treated with intervertebral fenestration.The lateral recess was explored and adequate decompressing of the nerve roots was carried out.Attention was paid to spinal stability during the operation.Results Of the 147 cases with a period of follow up from 6 months to 3 years,excellent results were obtained in 133,good in 11 and no effect in 3.The excellent and good rate is 90.47%.Conclusion Surgical statistics shows 51.11% patients with LDH had lateral recess stenosis.During the operation for LDH,attention should be paid to the combined condition.Adequate exploration and release of lateral recess giving full attention to spinal stability is the key to obtain excellent results.

关 键 词：侧隐窝狭窄 椎间盘移位 外科手术 治疗 

分 类 号：R681.505[医药卫生—骨科学] R687.3[医药卫生—外科学]