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〔目的〕探讨腰椎管内骨软骨瘤的临床表现及治疗。〔方法〕回顾分析自1990年3月至1999年1月收治的5例腰椎管内骨软骨瘤患者诊治情况。〔结果〕本组5例中,L1椎板关节突1例,L5椎板1例,L5椎板关节突2例,S1椎体后缘1例。5例手术后均经病理证实。〔结论〕脊柱骨软骨瘤腰椎发病较多见,好发于L5,就诊时往往已累及马尾神经,应积极手术,彻底切除,手术时应防止马尾神经损伤加重。
[Objective] To investigate the clinical manifestations and treatment of osteochondroma in lumbar spinal canal. [Methods] The clinical data of 5 patients with lumbar spinal osteochondroma treated from March 1990 to January 1999 were retrospectively analyzed. 〔Results〕 In this group of 5 cases, 1 cases of L1 laminotomy, L5 lamina in 1 case, L5 laminectomy in 2 cases, S1 vertebral body in 1 case. Five cases were pathologically confirmed after surgery. [Conclusion] The incidence of lumbar osteochondroma is more common in patients with lumbar spine, occurs in L5, often involving the cauda equina nerve at the time of treatment, should be actively surgery, complete resection, surgery should prevent the cauda equina injury worse.