非椎间盘性神经根压迫症的诊断及其手术治疗  

LUMBO-SACRAL SPINAL NERVE ROOT COMPRESSION AND ITS TREATMENT

作　　者：贾连顺[1] 李家顺[1] 

机构地区：[1]第二军医大学附属长征医院骨科

出　　处：《解放军医学杂志》1989年第6期425-428,共4页Medical Journal of Chinese People's Liberation Army

摘　　要：报告非椎间盘性腰骶神经根压迫症52例及其手术治疗。其致压因素有椎体后缘骨赘;神经根管(包括侧隐窝)狭窄;退变增生的关节突关节和黄韧带等。手术方法的选择依局部病变和解剖特点而定,如脊椎滑脱和节段性不稳,于减压术同时应用植骨融合术。本组随访优良为45例,占86.5％。讨论了腰骶神经根压迫的病理和治疗方法的选择。Fifty-two patients of lumbo-sacral spinal root compression which was not due to disc protrusion were subjected to surgical treatment.Compression of a lumbo-sacral spinal nerve may be due to one of the following factors.(1) posterior osteophytes of the vertebral body;(2) nerve root canal(recess) stenosis;(3) Degenerative hyperplasia of zygaophyseal joints;(4) degenerative thichening of ligament flavum and (5) central canal stenosis accompanying lateral recess stenosis.The selection of surgical management depended on the local characteristics of anatomy and pathology.Patients with spondylolis-thesis and segments) instability were candidates for fusion following decompression.In the follow-up study,excellent and good results were found in 45 cases (86.5%).The pathology and treatment of lumbo-sacral nerve root compression were discussed.

关 键 词：非椎间盘性神经根压迫症 诊断 外科手术 

分 类 号：R681.54[医药卫生—骨科学] R651.3[医药卫生—外科学]