椎旁经皮通道入路显微手术治疗腰椎管狭窄症的可行性及疗效分析  

Feasibility and efficacy of microsurgical treatment of lumbar spinal stenosis via paravertebral percutaneous channel

作　　者：杨荣思 吴建阳[1] 张少雄[1] 蔡刚峰 Yang Rongsi;Wu Jianyang;Zhang Shaoxiong;Cai Gangfeng(Shishi Hospital,Shishi,Fujian 362700,China;Quanzhou 910th Hospital, Quanzhou,Fujian 362000,China)

机构地区：[1]福建省石狮市医院,福建石狮362700 [2]福建省泉州市910医院,福建泉州362000

出　　处：《医药前沿》2019年第7期38-40,共3页Journal of Frontiers of Medicine

基　　金：福建省泉州市科技局计划项目(2014Z62).

摘　　要：目的:探讨显微镜下椎旁经皮通道单侧入路双侧减压治疗单节段黄韧带增生为主的腰椎椎管狭窄症的疗效。方法:选择2014年4月一2017年4月我院收治的腰椎椎管狭窄症40例。行显微镜下椎旁经皮通道单侧入路双侧减压治疗术,分析手术切口、手术时间、术中出血、手术并发症等指标。结果:术后CT显示椎管及神经根管减压充分,术后及随访时MRI结果显示受压部位脊魅与神经根受压状况较术前MRI检查缓解明显。随访6~23个月,优37例,良3例,可0例,差0例,优良率100%。结论:显微镜下椎旁经皮通道单侧入路双侧减压治疗单节段黄韧带增生为主的腰椎椎管狭窄症安全可行,疗效确切,创伤小,对脊柱稳定性保护好。Objective To investigate the effect of Unilateral approach with bilateral decompression of paravertebral channel under microscope in the treatment of lumbar spinal stenosis with unilateral hyperplasia ofligamentum flavum.Methods 40 cases of lumbar spinal stenosis from April 2014 to April 2017 were selected.The surgical incision, operative time, intraoperative bleeding and complications were analyzed.Results CT showed adequate decompression of spinal canal and nerve root canal,and MRI showed that the compression of spinal cord and nerve root was relieved obviously than that of MRI before operation.Follow-up 6-23 The results showed that 37 cases were excellent,3 cases were good,0 case was fair, and 0 case was poorCondusion It is safe and feasible to treat lumbar spinal canal stenosis with unilateral decompression of paravertebral channel and unilateral decompression with unilateral ligamentum flavum hyperplasia under microscope. It is safe and feasible to treat lumbar spinal stenosis with definite curative effect and less trauma, and it can protect the stability of the spine.

关 键 词：黄韧带增生 腰椎椎管狭窄症 通道 单侧入路双侧减压 显微镜 

分 类 号：R681.5[医药卫生—骨科学]