下腰段硬脊膜囊缩窄症（附16例报告）

The sydrome of dural contracture in low lumbar spine:report of 16 cases

中文关键词:  下腰段,硬脊膜囊缩窄

英文关键词:Low lumbar spine Dural contracture syndrome

中文摘要:

  报告16例下腰段硬脊膜囊缩窄症。其临床表现酷似腰椎椎管狭窄和腰椎间盘突出症。主要区别是该症为双下肢痛伴会阴部麻木、间歇性跛行，休息后症状不减轻。16例中先天性2例，继发于椎管狭窄4例，术后硬脊膜内外粘连10例。缩窄长度0．2～1．2cm，12例蛛网膜下腔完全闭锁。手术的关键是行缩窄段硬脊膜纵行切开。平均随访4年2个月，优15例，良1例。

英文摘要:

  16 cases of dural contracture syndrome in low lumbar spine were reported. The syndrome was similar to that of lumbar spinal stenosis and lumbar disc herniation,but its basis was different. Patients with dural contracture syndrome in low lumbar spine compl