李超,乔济民.开窗减压术治疗中央型腰椎管狭窄症[J].中国脊柱脊髓杂志,1993,(4):.
开窗减压术治疗中央型腰椎管狭窄症
Treatment of central lumbar spinal stenosis with fenestration decompression
  
DOI:
中文关键词:  腰椎 开窗减压术 腰椎管狭窄
英文关键词:Lumbar spine,Stenosis,Fenestration,Stability
基金项目:
李超  乔济民
阜阳地区人民医院骨科 236004安徽省阜阳市鹿祠街 (李超,乔济民,干阜生,张广信)
,阜阳地区人民医院骨科 236004安徽省阜阳市鹿祠街(乔颖刚)
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中文摘要:
  1986年以来,使用开窗减压术治疗中央型腰椎管狭窄症53例,49例(92.5%)得到随访,优良率达91.8%,仅有1例发生术后腰椎不稳。该手术损伤小,在较大程度上保留了腰椎后部结构均完整性,术后腰椎稳定性好,硬膜及神经根不易发生瘢痕粘连。虽然开窗减压范围小,但通过腰椎两侧对称性和多节段开窗,椎管可得到充分减压。临床应用表明该法较传统的椎板切除术疗效好。
英文摘要:
  Since 1986, 53 cases of central lumbar spinal stenosis have been treated with fen- estration decompression. A follow-up of 49 cases (92. 5%) showed that 91. 8% of the patients had an excellent or good result. Lumbar instability at the operated level occu
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