临床骨科杂志Issue(2)：146-148,3.DOI:10.3969/j.issn.1008-0287.2014.02.012
腰椎管狭窄症术中健侧预防性减压策略的应用
Contralateral preventive decompression strategy in the surgical treatment of lumbar stenosis
谭荣 1马华松 1吴继功 1陈晓明 1周建伟 1汪东 1杨滨 1刘涛1
作者信息
- 1. 解放军第 306 医院骨科，全军脊柱外科中心，北京100101
- 折叠
摘要
Abstract
Objective To evaluate the necessity and feasibility of contralateral preventive decompression in the surgi-cal treatment of lumbar canal stenosis.Methods 1 147 cases of lumbar canal stenosis underwent lumbar spine de-compression and fusion surgeries were divided into non-preventive group (n=732)and preventice group (n=415) by different stages.For the preventive group,contralateral preventive decompression was performed according to the severity of stenosis that preoperative MRI showed.The postoperative contralateral leg pain rate caused by lumbar spine and reoperation rate were recorded and analyzed.Results There were 27 cases had contralateral leg pain after operation in the non-preventive group,the leg pain rate was 3.69%.19 cases were cured by conservative treatment and the other 8 cases underwent revision surgeries,the reoperation rate was 1 .09%.For the preventive group,1 1 ca-ses had contralateral leg pain after operation,the leg pain rate was 2.65%.9 cases were cured by conservative treat-ment and 2 cases need revision surgery.The reoperation rate was 0.48%.There was significant difference of the postoperative leg pain rate and revision rate between two groups(P<0.05 ).Conclusions Contralateral preventive decompression in lumbar spinal stenosis patients reduce the rate of postoperative contralateral leg pain caused by lum-bar spine and rate of reoperation.关键词
腰椎管狭窄症/腰椎融合术/健侧预防减压/腿疼Key words
lumbar canal stenosis/lumbar fusion/contralateral side preventive decompression/leg pain分类
医药卫生引用本文复制引用
谭荣,马华松,吴继功,陈晓明,周建伟,汪东,杨滨,刘涛..腰椎管狭窄症术中健侧预防性减压策略的应用[J].临床骨科杂志,2014,(2):146-148,3.
