手术治疗腰椎管狭窄症的疗效及相关因素分析(2)
3.2结论 我们认为,术中充分、彻底的减压,恢复椎管容积是我们手术的主要目的,另外,也必须认识到,椎管减压手术必然影响到脊柱稳定性,术前、术中应积极准备,确保脊柱的稳定性。结合我院进行退变性腰椎管狭窄症手术患者的临床随访及统计学数据表明:年龄及性别与手术的术后疗效无明显差异,而术前病情比较严重,功能较差的患者,其手术治疗后功能症状改善明显,效果比较理想,虽然随着时间的推移,手术后患者出现功能改善的部分丢失,但是患者仍然感到较术前有大幅改善。保守治疗则出现症状反复,甚至症状加重的现象。
参考文献:
[1]Tetsuhiro I,Akira K,Junichi N,et al.Minimum 10-Year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis[J].Spine,2000,25(14): 1754- 1759.
[2]Hazelett JW,Kinnard P.Lumbar apophyseal process excision and spinal stability[J].Spine,1982,7(2): 171- 176.
[3]Katz JN,Lipson SJ,Chang LC,et al.Seven-to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis[J].Spine,1996,21(1): 92- 97.
[4]Simpson JM,Silveri CP,Balderston RA,et al. The results of operations on the lumbar spine in patients who have diabetes mellitus[J].J Bone Joint Surg (Am),1993,75(12): 1823- 1829.
[5]Cinotti G,Postacchini F,Weinstein JN.Lumbar spinal stenosis and diabetes:outcome of surgical decompression[J].J Bone and Joint Surg(Br),1994,76(2):215- 219.编辑/张燕, 百拇医药(杨涛 安丰敏 徐辉)
参考文献:
[1]Tetsuhiro I,Akira K,Junichi N,et al.Minimum 10-Year outcome of decompressive laminectomy for degenerative lumbar spinal stenosis[J].Spine,2000,25(14): 1754- 1759.
[2]Hazelett JW,Kinnard P.Lumbar apophyseal process excision and spinal stability[J].Spine,1982,7(2): 171- 176.
[3]Katz JN,Lipson SJ,Chang LC,et al.Seven-to 10-year outcome of decompressive surgery for degenerative lumbar spinal stenosis[J].Spine,1996,21(1): 92- 97.
[4]Simpson JM,Silveri CP,Balderston RA,et al. The results of operations on the lumbar spine in patients who have diabetes mellitus[J].J Bone Joint Surg (Am),1993,75(12): 1823- 1829.
[5]Cinotti G,Postacchini F,Weinstein JN.Lumbar spinal stenosis and diabetes:outcome of surgical decompression[J].J Bone and Joint Surg(Br),1994,76(2):215- 219.编辑/张燕, 百拇医药(杨涛 安丰敏 徐辉)