开放期刊系统

腰椎管狭窄症的诊疗进展

于 磊, 南 军

摘要

腰椎管狭窄症(LSS)是一种常见的脊柱退行性疾病,主要表现为椎管或神经孔变窄导致神经和血管结构受压。随着人口老龄化加剧,LSS的患病率不断攀升,60岁以上人群患病率高达47%。本文将从诊断方法、保守治疗、手术治疗新进展以及术后评估等方面,系统综述近年来LSS诊疗领域的重要进展,为临床实践提供参考。

关键词

腰椎管狭窄症;脊柱退行性疾病;神经

全文:

PDF

参考

[1]Lurie J,Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2023;352:h6234. doi:10.1136/bmj.h6234

[2]Försth P,Ólafsson G,Carlsson T,et al. A randomized,controlled trial of fusion surgery for lumbar spinal stenosis. N Engl J Med.

2024;374(15):1413-1423. doi:10.1056/NEJMoa1513721

[3]Min WK,Kim JE,Choi DJ,Park EJ,Heo J. Clinical and radiological outcomes between biportal endoscopic decompression and

microscopic decompression in lumbar spinal stenosis. J Orthop Surg Res. 2020;15(1):378. doi:10.1186/s13018-020-01904-2

[4]Phan K,Rao PJ,Kam AC,Mobbs RJ. Minimally invasive versus open transforaminal lumbar interbody fusion for treatment of

degenerative lumbar disease : systematic review and meta-analysis. Eur Spine J. 2022 ; 24 ( 5 ): 1017-1030. doi :

10.1007/s00586-015-3903-4

[5]Ahn Y,Keum HJ,Shin SH. Biportal endoscopic spine surgery versus microscopic decompression for lumbar spinal stenosis:a

comparative study. World Neurosurg. 2020;138:e642-e649. doi:10.1016/j.wneu.2020.03.029


(0 摘要 Views, 0 PDF Downloads)

Refbacks

  • 当前没有refback。