经皮脊柱内镜处理双节段腰椎管狭窄症合并椎管内骨化三例报告  

Percutaneous endoscopic treatment of dual segment lumbar spinal stenosis combined with intraspinal ossification: a case report

作　　者：周庆 孔清泉[1] 张斌[2] 冯品[2] ZHOU Qing;KONG Qing-quan;ZHANG Bin;FENG Pin(Department of Orthopedics, West China Hospital of Sichuan University,Chengdu,Sichuan,610041,China)

机构地区：[1]四川大学华西医院骨科,成都610041 [2]西藏自治区驻成都办事处医院(四川大学华西医院西藏成办分院)骨科,成都610041

出　　处：《中国骨与关节杂志》2019年第2期155-160,共6页Chinese Journal of Bone and Joint

摘　　要：腰椎管狭窄症(lumbar spinal stenosis,LSS)包括发育性椎管狭窄和继发性椎管狭窄,继发性椎管狭窄原因包括退变性椎管狭窄、椎管内骨化所导致的狭窄、肿瘤性狭窄和外伤性狭窄等。Objective To explore the advantages, surgical methods and surgical techniques of percutaneous endoscopy in the treatment of dual segmental lumbar spinal stenosis with intraspinal ossification. Methods Percutaneous spinal endoscopy was used to decompress the lateral and central spinal canals in 3 cases, and selective removal of ossified tissue was performed. Results After operation, the clinical symptoms of 3 patients were alleviated, the decompression effects were ideal, and the clinical effects were satisfactory. Conclusions Percutaneous endoscopic surgery is a safe and effective method for the treatment of duel segmental lumbar spinal stenosis with intraspinal ossification. The size, location, extent and segment of ossification in the spinal canal are the main factors affecting the difficulty and risk of endoscopic decompression.

关 键 词：腰椎 椎管狭窄 骨化 异位性 内窥镜 

分 类 号：R616.5[医药卫生—外科学] R681.5[医药卫生—临床医学]