摘要
１９８３年６月～１９９４年９月收治胸椎黄韧带骨化引起椎管狭窄和脊髓病４８例。临床主要表现为无明显诱因双下肢进行性麻木、无力、间歇性跛行和行走不稳，严重者行走困难乃至截瘫。其中硬瘫４０例，软瘫８例。４８例全部做了后路椎板切除减压，其中３例做了二次手术，４６例随访超过半年，平均３年９个月，优良率为８４．８％，有效率为９３．５％。胸椎黄韧带骨化发病机理可能与脊柱退变有关，真正原因仍不清楚。强调早期诊断及诊断方法，应注意与一些疾病进行鉴别诊断。应做到脊髓充分减压和处理好骨化的韧带和硬脊膜间粘连。
Fourty-eightpatientswithspinalstenosisandmyelopathycausedbyossificationoftheligamentumflavumofthethoracicspineweretreatedfromJune1983toSeptember1994.Thechiefclin-calmanifestationsofthediseasewereinsidiousandprogressiveonsetofnumbness,weakness,intermi-tentclaudicationandunstabilityofthelowerextremities.Intheadvancedstage,thereweredificultyofwalkingandparaplegia.Fourtypatientshadspasticparaplegiaand8hadflaccidparaplegia.Fourty-eightcaseswerestudiedwithradiographyand22hadmyelograms,16hadCTscanningand19hadMRIstudy.Posteriorlaminectomyanddecompressionwereperformedinalofthe48patients.3hadrevi-sionoperations.Fourty-sixcaseswerefolowed-upformorethanahalfyearwithanaverageof3yearsand9months.Theefectiveratewas93.5%,84.5%hadexcelentandgoodresults.
出处
《中华骨科杂志》
CAS
CSCD
北大核心
1996年第7期447-450,共4页
Chinese Journal of Orthopaedics
