| 摘要: |
| ［摘要］ 目的 探讨腰椎管狭窄症的手术及非手术治疗的适应证。方法 将回顾分析确诊的96例腰椎管狭窄症患者分为2组，手术组54例确诊后1周进行手术治疗，术后1周行腰背肌功能锻炼；非手术组42例采用卧床休息、非激素类抗炎药物治疗、理疗、银质针、腰背肌锻炼、推拿以及护腰带护腰。平均随访2.5年。结果 手术组治愈率为94.2%，非手术组治愈率为90.5%，两组比较经χ2检验差异无统计学意义(P>0.05)。结论 并非所有的腰椎管狭窄症都需要手术治疗，应严格掌握手术及非手术治疗的适应证。 |
| 关键词: 腰椎管狭窄症 手术治疗 保守治疗 |
| DOI： |
| 分类号:R 681 |
| 基金项目: |
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| Comparison of the therapeutic efficacy between conservative therapy and surgery treatment of lumbar spinal stenosis in elder patients |
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LAN Yong-bo
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Guangxi Orthopaedic Traumatology Hospital, Nanning 530012, China
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| Abstract: |
| ［Abstract］ Objective To discuss the adaptation of conservative therapy and surgery treatment of lumbar spinal stenosis in elder patients.Methods The analysed elder patients of lumbar spinal stenosis were divided into 2 groups.Fifty-four cases in the surgery group were performed surgery treatment one week after diagnosis and performed the waist muscle function exercise after one week of surgery treatment. Forty-two cases in the conservative therapy group were treated by such conservative treatments as bed rest, the non-hormone pharmacological treatment, the physical therapy, the silver nature needle treatment, the waist muscle exercise, the massage as well as the waistband to protect the waist.Results The cure rate in surgery group was 94.2%, that in conservative therapy group was 90.5%. There were no significant difference between two groups (P>0.05).Conclusion All lumbar spinal stenosis in elder patients needs the surgery by no means and should grasp strictly the adaptation between conservative therapy and surgery treatment. |
| Key words: Lumbar spinal stenosis in elder patients Conservative therapy Surgery treatment |
