CAJ | 학술논문

退变性腰椎管狭窄症(degenerative lumbar spinal stenosis,DLSS)是腰椎椎管、神经根管、侧隐窝或椎间孔因退行性变,导致骨性或纤维结构形态和容积异常,单一平面或多平面的一处或多处管腔内径狭窄,引起神经根、马尾及血管受压出现的临床症状.一般多发生在50~70岁之间的老年人,发病率为1.7%~10%.随着社会老龄化进程的加快及人们生活方式的变化,腰椎退行性变所导致的腰椎管狭窄症日益增多,这为社会及家庭带来严重负担.目前DLSS的治疗主要分为保守治疗及手术治疗.现就其治疗加以综述.
퇴변성요추관협착증(degenerative lumbar spinal stenosis,DLSS)시요추추관、신경근관、측은와혹추간공인퇴행성변,도치골성혹섬유결구형태화용적이상,단일평면혹다평면적일처혹다처관강내경협착,인기신경근、마미급혈관수압출현적림상증상.일반다발생재50~70세지간적노년인,발병솔위1.7%~10%.수착사회노령화진정적가쾌급인문생활방식적변화,요추퇴행성변소도치적요추관협착증일익증다,저위사회급가정대래엄중부담.목전DLSS적치료주요분위보수치료급수술치료.현취기치료가이종술.
Degenerative lumbar spinal stenosis syndrome (degenerative lumbar spinal stenosis, DLSS) is lumbar spinal canal, nerve root canal, side crypts or intervertebral hole for degenerative changes, lead to osseous or fiber structure form and volume anomaly, a single plane or more plane one or more points pipe cavity diameter stenosis, cause nerve root, horsetail and vascular compression appear clinical symptoms. Generally occurs in 50 a 70 years old of the old people, a 10% rate was 1.7%. With the quickening of the process of aging society and people's life of the change of the mode of lumbar degenerative change caused by the lumbar spinal stenosis disease is increasing, the social and family serious burden. At present the treatment of DLSS mainly divided into conservative treatment and surgical treatment. Now the treatment are reviewed.