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腰椎管狭窄伴椎间盘突出症的手术选择

Hits: 2894 Download times: 1371 Received:December 01, 2006

作者	Author	单位	Unit	E-Mail
端木群立	DUAN-MU Qun-li	浙江中医学院附属杭州第三医院骨科、,浙江杭州310009	Department of Orthopaedics,the 3rd Hospital of Hangzhou,Traditional Chinese Medical College of Zhejiang,Hangzhou 310009,Zhejiang,China
顾军	GU Jun	杭州市红十字会医院骨科
黄东辉	HUANG Dong-hui	浙江中医学院附属杭州第三医院骨科、,浙江杭州310009	Department of Orthopaedics,the 3rd Hospital of Hangzhou,Traditional Chinese Medical College of Zhejiang,Hangzhou 310009,Zhejiang,China
王昌吉	WANG Chang-ji	淳安县第二人民医院骨科
赵琦辉	ZHAO Qi-hui	浙江中医学院附属杭州第三医院骨科、,浙江杭州310009	Department of Orthopaedics,the 3rd Hospital of Hangzhou,Traditional Chinese Medical College of Zhejiang,Hangzhou 310009,Zhejiang,China

期刊信息：《中国骨伤》2007年20卷，第10期，第705-706页

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

腰椎管狭窄伴腰间盘突出在临床上很常见,其椎管狭窄症多为退行性变引起,约占腰椎管狭窄的60%。而椎间盘退变是最常见的引发脊椎退变的病因,其中的腰间盘突出症与退行性腰椎管狭窄也常有交叉^[1-2]。虽然成年人椎管狭窄伴椎间盘突出而施行的全椎板切除及间盘摘除术后,很少发生明显的脊柱畸形,但其术后可能会破坏脊柱的稳定性,出现活动异常和功能单位的刚度减弱等,使术后的腰腿痛复发,影响远期疗效。因此,现代脊柱手术提出了要求保护脊柱稳定性的要求。具体而言,对于椎管狭窄伴椎间盘突出的手术,既要进行髓核摘除和有效的椎管减压,又要减少术后脊柱节段性不稳定或是否要进行脊柱稳定术,乃是目前有待于规范和探讨的问题。

[关键词]:椎间盘移位椎管狭窄减压外科手术

Operative choice of lumbar spinal stenosis combined with intervertebral disc herniation

KEYWORDS:Intervertebral disk displacement Spinal stenosis Decompression Surgical procedures,operative

引用本文，请按以下格式著录参考文献：

中文格式:	端木群立,顾军,黄东辉,王昌吉,赵琦辉.腰椎管狭窄伴椎间盘突出症的手术选择[J].中国骨伤,2007,20(10):705~706
英文格式:	DUAN-MU Qun-li,GU Jun,HUANG Dong-hui,WANG Chang-ji,ZHAO Qi-hui.Operative choice of lumbar spinal stenosis combined with intervertebral disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2007,20(10):705~706

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