老年腰椎间盘突出症的特点与手术治疗

Characteristics and surgical outcomes of lumbar intervertebral disc herniations in the elderly

中文关键词:  老年人 腰椎间盘突出症 手术治疗

英文关键词:Elderly,Lumbar intervertebral disc herniation,Operative treatment,

中文摘要:

  目的:探讨老年腰椎间盘突出症的特点与手术治疗效果。方法:对98例老年腰椎间盘突出症患者的临床与病理特点进行分析。男55例,女43例,平均年龄65.7岁。均行腰椎后路椎板减压髓核摘除术,其中小切口开窗56例,半椎板切除32例,全椎板切除10例,根据手术前后JOA评分评价手术疗效。结果:老年腰椎间盘突出症病理以髓核组织的脱水,纤维环的破裂,小关节囊、周围韧带及软骨终板退变为主要特点。临床特点为下肢疼痛多发,腰部活动受限较多;双下肢神经系统检查肌力下降明显,生理反射改变明显。98例平均随访2.2年,JOA评分术后平均改善率为70.9%,手术前后JOA评分比较差异有显著性意义(P<0.05)。结论:老年腰椎间盘突出症患者病程长,体征多,病理改变明显,行腰椎后路椎板减压髓核摘除术,手术效果满意。

英文摘要:

  Objective:To study the characteristics and surgical treatment for lumbar intervertebral disc herniations in the elderly.Method:98 cases of lumbar intervertebral disc herniations,including 55 males and 43 females with the mean age of 65.7 years,underwent l