经11肋胸膜外腹膜后入路在胸腰椎病变中的临床应用  

Evaluation of 11th rib extrapleural-retroperitoneal approach to the thoracolumbar juntion

作　　者：赖志军[1] 郭汉明[1] 谢晞衷[1] 谢惠缄[1] 黄玉良[1] 蔡宏华[1] 孙春汉[1] 缪海雄[1] 

机构地区：[1]广东省惠州市中心人民医院骨科,广东惠州516001

出　　处：《海南医学》2008年第3期44-44,62,共2页Hainan Medical Journal

摘　　要：目的本研究中作者探讨经11肋胸膜外腹膜后入路在胸腰段中应用,研究患者早期和晚期并发症。方法从2003年至2005年15例患者行经11肋胸膜外腹膜后入路,病变位于胸11至腰1,平均随访37.5个月。男性10例,女性5例,平均年龄47.5岁(23～54岁),其中骨折11例,肿瘤2例,感染2例。结果没有1例神经功能加重。没有一例发生肺部并发症,只有1例术后需停留胸管。结论经11肋胸膜外腹膜后入路可成功治疗胸腰段各种病变,作者认为以前的此入路只提供有限的显露。Objective In the current study the authors describe the 11^th rib extrapleural-retroperitions approach to the thoracolumnbar junction, and they evaluate the associated early and late morbidity in these patients. Methods From 2003 to 2005, the author collected prospective data of consecutive patients who underwent surgery for a variety of pathological conditions of the thoraeolumbar junction via this approach. In conseetire patients requiring an anterior spinal procedure, lesions located between T10 and T11 were studied and followed for a mean period of 37.5 months. There were 10 men and 5 women whose mean age was 47.5years （range 23-54 years）, with the following pathological entities： trauma （11 cases）, neoplasm （ 2 cases）, infection （2 cases）. Results There were no cases of neurological deterioration. There were no significant pulmonary complications, and only one patient required insertion of a postoperative chest tube. Conclusions The 11^th rib extrapleural-retroperitional approach was successfully used to treat patients with a variety of lesions in the thoralumbar junction and was associated with little morbidity. The authors believe that previous criticism suggesting that this approach provides only limited access is unsubstantiated.

关 键 词：胸腰椎 内固定 腹膜后 脊柱融合 

分 类 号：R681.5[医药卫生—骨科学]