36例腰椎管狭窄症再手术临床分析  

Analysis of Reoperative for 36 Cases with Lumbar Spine Canal Stenosis

作　　者：陈显辉[1] 曾湘穗[1] 谭建韶[1] 张建平[1] 

机构地区：[1]广东省佛山市第一人民医院骨科,528000

出　　处：《中国矫形外科杂志》2003年第5期303-305,共3页Orthopedic Journal of China

摘　　要：目的 :探讨腰椎管狭窄再手术原因及影响再手术效果的相关因素。方法 :根据 36例腰椎管狭窄症再手术的不同病理原因 ,对 31例患者重新进行侧隐窝扩大 ,神经根松解或椎板扩大减压 ,10例腰椎不稳或再手术减压范围较大可能导致不稳的患者施行脊柱内固定 ,1例腰椎不稳患者行“H”形植骨融合术。 2 8例获平均 11个月随访。结果 :临床疗效评定优 12例 ,良 11例 ,可 3例 ,无变化 2例 ,优良率 82 %。结论 :腰椎管狭窄首次手术失败的病人 ,针对失败原因 ,选择合适的术式 ,仍可获得较为满意的治疗效果。Objective: To study reoperation of lumbar spine canal stenosis(LSCS),its accounts and factors that influence the outcome.Methods:According to different pathogenesis,foraminotomy and Laminectomy were performed in 31 patients,interbody fusion with instrumentation performed in 10 patients,interbody fusion with H-shape bone-graft performed in 1 patient,28 patients were followed-up for an average of 11 months.Results:Twelev cases obtained excellent results,11 cases good results,3 cases fair results,2 cases poor results,clinical success rate was 82%.Conclusion:According to reseans of failure in primary operation and appropriate,methods are adapted, the satisfactory results can be obtained.

关 键 词：腰椎管狭窄症 再手术 临床分析 外科手术 

分 类 号：R687.3[医药卫生—骨科学]