腰椎管狭窄症的手术治疗进展

Progress in Surgical Treatment of Lumbar Spinal Stenosis

摘要: 随着我国人口老龄化的加剧，腰椎管狭窄症的患者不断增加。手术治疗是治疗腰椎管狭窄症的有效治疗方式。针对腰椎管狭窄症患者的手术方式多种多样。本文对国内外腰椎管狭窄症手术治疗进行检索整理，介绍治疗腰椎管狭窄症手术的优缺点、适应症。结合相关文献，笔者认为减压、融合、非固定性融合等各种术式都有良好的临床治疗效果，但各种术式都有各自优缺点，腰椎管狭窄症拟行手术治疗者，主管医师应根据患者症状、体征及影像学特点个性化选择手术方式，以期提高患者生活质量。

Abstract: With the aggravation of population aging in China, the number of patients with lumbar spinal stenosis is increasing. Surgical treatment is an effective treatment for lumbar spinal stenosis. There are various surgical methods for patients with lumbar spinal stenosis. This paper searches and arranges the surgical treatment of lumbar spinal stenosis at home and abroad, and introduces the advantages, disadvantages and indications of surgical treatment of lumbar spinal stenosis. Combined with relevant literature, the author believes that various surgical methods such as decompression, fusion and non-fixed fusion have good clinical therapeutic effects, but various surgical methods have their own advantages and disadvantages. For those who plan to undergo surgical treatment for lumbar spinal stenosis, the competent physician should choose the surgical method according to the patient’s symptoms, signs and imaging characteristics, in order to improve the patient’s quality of life.