多间隙腰椎间盘突出症的手术治疗探讨

Surgical treatment of multiple lumbar disc herniation

中文关键词:  多间隙  腰椎间盘突出症  手术治疗

英文关键词:Multiple clearance  Lumbar disc herniation  Operative treatment

中文摘要:

  目的：探讨多间隙腰椎间盘突出症手术治疗的基本原则。方法：167例多间隙腰椎间盘突出症患者，87例行单纯椎板间开窗减压术，54例行半椎板切除加椎板间开窗减压术，17例行单纯全椎板切除减压术，9例行全椎板切除加内同定植骨融合术，287个“责任”椎间盘予髓核摘除，56个“非责任”椎间盘未予处理。结果：随访7个月～9年，原位椎间盘突出复发6例，术后继发椎管狭窄9例，腰椎不稳4例，内同定断裂1例。按改良Macnab法评定术后疗效，本组优93例，良44例，可29例，差1例，优良率为82％。结论：有效减压、维持脊柱的稳定性、避免并发症的发生是手术治疗多间隙腰椎间盘突出症应遵守的基本原则。

英文摘要:

  Objective:To study the basic principle of surgical treatment of multiple lumbar disc herniation.Method:167 cases with multiple lumbar disc herniation were treated with a different operative method.87 cases were operated with single vertebral plate fenestr