腰椎管狭窄的治疗有哪些方法 付本升 中国人民解放军海军总医院 скачать в хорошем качестве

腰椎管狭窄的治疗有哪些方法 付本升 中国人民解放军海军总医院

腰椎管狭窄的治疗有哪些方法 付本升 中国人民解放军海军总医院 治疗也是随着技术进步，首先我要根据椎管狭窄的原因，我刚才说的这种骨性的，还是软性的，如果要黄韧带肥厚的话，那么我们现在也可以，就说几种选择吧，选择很多，常规的话，我们可以通过药物，通过理疗，通过按摩、牵引这些来改善症状，可能绝大部分人都可以，通过这个来缓解症状，那么如果这些无效的话，现在我们就可以进行，针刀的这种干预，像黄韧带的这种切割，腰部的黄韧带的切割，还是比较安全的，当然这个也需要，有丰富的临床经验了这个治疗，再一个我们可以考虑，现在的椎间孔镜，椎间孔镜的这种，在镜下进行，对于你椎管狭窄的这种，制压的靶点进行治疗，就像黄韧带肥厚，我们这种切除，镜下的这种开窗，小关节的这种磨除，间盘突出的这种摘除，各种入路来解决你制压的靶点，最困难就是，椎管狭窄像我刚才说的，它属于是一种退变性的疾病，就怕你没有一个明确的卡压点，你可能就需要一个，全部椎管的一个开放，可能做几个节段的话，这也可能就需要开大刀了，可能还需要固定治疗，这是它治疗上的一个难点。 What are the treatment methods of lumbar stenosis With the development of technology, First of all, I'm going to look at the causes of spinal stenosis, I just said this kind of bony, It's still soft, If you want ligamentum flavum hypertrophy, So we can do it now, Just a few options, There are many choices, As a rule, We can use drugs, Through physical therapy, Through massage and traction to improve symptoms, Maybe most people can, Through this, we can relieve the symptoms, So if that doesn't work, Now we can do it, This kind of intervention of needle knife, Like this cut of the ligamentum flavum, The incision of the ligamentum flavum at the waist, It's still safer, Of course, this is also needed, I have rich clinical experience in this treatment, One more thing we can think about, Today's foramen, This is the kind of foramen, Under the mirror, For your spinal stenosis, The pressure target is used for treatment, It's like a yellow band, We have this resection, This kind of window under the mirror, This grinding of small joints, This removal of the protruding disc, All kinds of ways to solve your pressure target, The most difficult thing is, Spinal stenosis, as I just said, It belongs to a degenerative disease, I'm afraid you don't have a specific pressure point, You may need one, One opening of the entire spinal canal, If it's possible to do several segments, It may also need a big knife, Fixation may also be needed, This is a difficulty in its treatment.