椎板开窗减压治疗退变性腰椎管狭窄症的疗效分析.pdfVIP

提 要 目的：观察椎板开窗减压术治疗退变性腰椎管狭窄症的术后疗效，并探讨影响预 后的相关因素。方法：对山东中医药大学附属医院骨科 2005. 1～2007.12 因退行性腰 椎管狭窄症行椎板开窗减压术治疗并有完整随访资料的 65 例患者进行分析研究,采用 JOA 疗效评定标准评价术后 1、3、9 和 18 个月时的疗效。结果：临床应用显示，椎 板开窗椎管减压术治疗退变性腰椎管狭窄症，无严重并发症，术后 1、3、9 和 18 个 月复查时，疗效平均好转率分别为 86.37 ±8.54%、86.64 ±8.33%、86.88 ±7.57%、87.64 ±7.07%,其优良率均为 98.5%，各期复查的好转率无显著性差异(P0.05) 。结论：椎 板开窗椎管减压术对主、侧椎管减压充分，椎管扩大明显，对腰椎后部结构破坏小， 能保持脊柱稳定性，并发症少。该手术方式是治疗退变性腰椎管狭窄症疗效较为满意 的一种术式。 关键词 腰椎管狭窄； 减压术；开窗；疗效 Analysis Of Curative Effect Of Treatment Of Lumbar Spinal Stenosis With Fenestration Decompression Speciality：Orthopedics of TCM Author ：Yu Jianhui Tutor：Prof. Xu Zhanwang Abstract Objective:To observe the surgical results and affecting factors of vertebral lamina fenestration suguical decompression in the treatment of lumbar canal stenosis. Methods:The All 65 patients of lumbar canal stenosis been treated with vertebral lamina fenestration surguical decompression from January,2005 to December,2007 at Shandong Provincal TCM Hospital. The surgical results after operation been studied acording to the accessment of JOA for 1 ～ 18 months. Results: No patient developed any severe complication. After being followed up for an average period of 1.3.9.18 months, the results proved to be satisfied.The average improvement rate was 86.0% 86.1% 86.0%.86.5%.There is no statistic difference among thesediferrent period of improvement rates (P0.05). Conclusion: The modus operandi proved to be a satisfied way of treating degenerative lumbar stenosis with thoroughly decompression of main and lateral canal, less destructive effect to the posterior part of lumbar spine and thus maintain the stability of spine. Key words: Lumbar stenosis ； Surgical decompression ；F