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腰椎间盘突出并发侧隐窝狭窄的诊断和治疗(附48例分析)
引用本文:李俊,付昆.腰椎间盘突出并发侧隐窝狭窄的诊断和治疗(附48例分析)[J].海南大学学报(自然科学版),1998,16(2):157-159.
作者姓名:李俊  付昆
作者单位:海南医学院附属医院骨科
摘    要:48例腰椎间盘突出并发侧隐窝狭窄均行手术治疗,其中25例经椎板间开窗术,19例经半椎板切除术,4例经全椎板切除术。术后随访37例,其中优22例,占59.5%,良11例,占29.7%,优良率为89.2%。笔者认为本病确诊需靠脊髓造影CT检查;手术以椎板间开窗、半椎板切除为主。如此手术创伤小,脊柱稳定性不受损,术后功能恢复快。

关 键 词:腰椎间盘  侧隐窝狭窄  诊断  治疗

Treatment and Diagnosis of Lumbar Disc Herniation With Lateral Recess Stenosis (Analysis on 48 Cases)
Li Jun, Fu Kun, Jiang Guoxiang.Treatment and Diagnosis of Lumbar Disc Herniation With Lateral Recess Stenosis (Analysis on 48 Cases)[J].Natural Science Journal of Hainan University,1998,16(2):157-159.
Authors:Li Jun  Fu Kun  Jiang Guoxiang
Abstract:cases of lumbar disc herniation with lateral recess stenosis were treated by surgery. Amongthem,25 cases were treated by fenestration; 19 cases by semilaminectomy; 4 cases by whole laminecto-my. Among the follow-up 37 case survey 22 cases (59.5 percent) were excellent, and 11 cases (29.7percent) good. The excellent rate was 89.2 percent. The aurther believed that the diagnosis of the dis-ease depented on myelography CT ( CTM) . Surgery should take the fenestration and semilaminectomy asthe principal. In this way, the operation resulted in little traumation and a quick function recover after operation. In the meantime, the stability of spondy was not influenced.
Keywords:lumbar disc  lateral recess stenosis  diagnosis  treatment
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