腰椎管狭窄症下肢微循环改变及其意义
腰椎管狭窄症,,腰椎管狭窄症；,间歇性跛行；,下肢；,微循环；,交感神经,1资料与方法,2结果,3讨论,参考文献：
摘 要：[目的]探讨腰椎管狭窄症下肢微循环在不同情况下的改变及其意义。[方法]随机选择50例患者，用WX6型微循环诊断仪，在术前、术后7~10 d和3~6个月检测足⻊母趾循环，结果与30例健康者比较，做均数q检验；病例组术前按跛行距离分0～100 m和300～400 m 2组，比较2组微循环指标，做均数t检验。[结果]病例组术前与对照组、术前与术后，各指标均有显著性差异(P<001)，术后7~10 d和3~6个月与对照组比较，均无显著性差异(P>005)。其中以血液流态改变最灵敏。[结论]交感神经功能紊乱致下肢微循环障碍是腰椎管狭窄症间歇性跛行原因之一，术后下肢微循环及症状改善明显，微循环检测可作为腰椎管狭窄症术前诊断和术后疗效评价的客观手段。关键词：腰椎管狭窄症； 间歇性跛行； 下肢； 微循环； 交感神经
Microcirculation in lower limbs with lumbar canal stenosis:the changes and clinical significance∥QIN Dean,ZHANG Zuolun,LI Xiaofang,et alDepartment of Spinal Surgery,Shandong Provincial Hospital,Shandong University,Jinan 250021
Abstract：[Objective]To discuss the changes and clinical significance of microcirculation in lower limbs in patients with lumbar canal stenosis under different circumstances[Method]Prospectively,randomly,the nail fold microcirculation of the big toe in 50 patients were investigated with WX6 microcirculation instrument before and after operation at 7~10 days and 3~6 monthsThe averages were compared with that of 30 healthy persons with q testTwo groups were defined according to the claudication distance as 0～100 meter and 300～400 meter and testedThe averages were analyzed with t test[Result]There were statistically significant differences between the patients group and the healthy group and before and after surgery(P<001)No significant differences existed among that of the healthy at 7～10 days and 3~6 months after operation(P>005)The most significant change was the form of blood flow[Conclusion]The dysfunction of sympathetic nerve resulting from lumbar canal stenosis will impair the microcirculation of lower limbs and aggravate intermittent claudicationThe operation will improve the microcirculation and alleviate the symptoms significantlyThe microcirculation test in lower limbs can serve as an objective method for the preoperative diagnosis and postoperative assessment for therapeutic efficacy ......
您现在查看是摘要页，全文长 8514 字符。