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现代治疗退变性腰椎管狭窄症的方式,包括非手术治疗和手术治疗。随着对中医药的研究和发掘,传统的中医药方法治疗退变性腰椎管狭窄症的效果越来越好,优势也很明显。手术治疗的目的也仅仅是改善症状,提高患者生活质量,并非治愈。现代微创手术越来越受到重视,效果也越来越好。是否需要融合仍有争议。为了避免邻近节段病的发生发展,内固定的方式也在发生改变。非融合动态固定或半坚强固定已逐步在临床上应用,效果有待进一步观察。
Modern treatment of degenerative lumbar spinal stenosis, including non-surgical treatment and surgical treatment. With the research and exploration of traditional Chinese medicine, the traditional Chinese medicine treatment of degenerative lumbar spinal stenosis effect is getting better and better, the advantage is obvious. The purpose of surgical treatment is only to improve the symptoms and improve the quality of life of patients, not cure. Modern minimally invasive surgery more and more attention, the effect is getting better and better. Whether the need for convergence is still controversial. In order to avoid the occurrence and development of adjacent segment disease, the way of internal fixation is also changing. Non-fusion dynamic fixation or semi-rigid fixation has been gradually applied in clinical, the effect needs further observation.