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侧隐窝小开窗治疗腰椎间盘突出症248例

Hits: 1934 Download times: 1521 Received:April 01, 1999 Revised:June 22, 2000

作者	Author	单位	Unit	E-Mail
赵新建	ZHAO Xin jian	佛山第一人民医院,广东佛山528000	The First Hospital of Foshan Guangdong Foshan,528000
林庆光	LIN Qing guang	佛山第一人民医院,广东佛山528000	The First Hospital of Foshan Guangdong Foshan,528000

期刊信息：《中国骨伤》2001年14卷，第5期，第264-266页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：探讨手术治疗腰椎间盘突出症的效果。

方法：用骨刀行倒U正L形侧隐窝小开窗法共治疗具有单侧下肢症状的腰椎间盘突出症248例。

结果：经1～4年随访,优160例,良78例,可3例,差7例。

结论：手术具有创伤小、恢复早的优点,尤其适合于伴有侧隐窝和根管狭窄的腰椎间盘突出症。

[关键词]:椎间盘移位开窗术椎管狭窄

Treatment of 248 cases of lumbar intervertebral disc herniation with small fenestration operation

Abstract:

Objective:To review the results of the treatment of lumbar intervertebral disc herniation(LDH) with fenestration operation.

Methods: 248 cases of LDH with symptoms of unilateral lower limb pain were treated with small fenestration operation of lateral recess.The incisional approach to lateral recess was of invert U and upright L shape.

Results: After 1～4 years follow up,excellent results were obtained in 160 cases,good in 78,fair in 3 and poor in 7.

Conclusion:The operative method has the merits of small wound and early recovery,which is especially suitable for the treatment of LDH with stenosis of lateral recess and nerve root canal.In order to improve the curative effect,the protruded necleus pulposus of intervertebral disc should be excised and complete decompression of nerve root is also important.

KEYWORDS:Intervertebral discs displacement Fenestration Spinal stenosis

引用本文，请按以下格式著录参考文献：

中文格式:	赵新建,林庆光.侧隐窝小开窗治疗腰椎间盘突出症248例[J].中国骨伤,2001,14(5):264~266
英文格式:	ZHAO Xin jian,LIN Qing guang.Treatment of 248 cases of lumbar intervertebral disc herniation with small fenestration operation[J].zhongguo gu shang / China J Orthop Trauma ,2001,14(5):264~266

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