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目的 探讨腰椎管狭窄手术治疗的临床效果.方法 前瞻性分析手术治疗160例腰椎管狭窄的患者.男性87例,女性73例,平均年龄51岁(18～78岁).平均病程5年(1个月～36年).全部病例均采用腰椎管减压、椎弓根固定、椎间隙植骨融合.随访时间3个月～5年(平均34个月).结果 按COA标准评定,优:120例(75%);良:31例(19.4%);一般:9例(5.6%);优良率为94.4%.结论 手术干预是治疗重症或进行性加重的腰椎管狭窄的有效手段.后路彻底减压和可靠的脊柱稳定,可取得满意的临床治疗效果.“,”Objective To investigate the surgical outcome of lumbar spinal canal stenosis. Methods Forward analysis of 160 cases of the patients with lumbar spinal canal stenosis getting operative treament was performed. 87 cases were male and 73 case were female. The average age was 51 years old (18 ～ 78years old). The average course of deseases was 5 years (1 month ～ 36years). All of the cases used lumbar spinal canal decompression combined with pedicle screws fixation and posterolateral bone graft. All cases had a follow - up of 3 months to 5 years (mean 34 months). Results The (COA) recovery rate among the tolal patients was cassified as exellent in 120 ca-ses , good in 31 cases , fair in 7 cases. The excellent and good rate was 94.4%. Conclusion The operative intervention was an effective method for patients with severe or progressive clinical lumbar spinal canal stenosis. The procedure in decompressed compretely through pos-terior approach and the instability of cerrical apinein had the satisfactory clinical outcome.