经关节突入路手术治疗胸椎间盘突出症  

Surgical treatment of thoracic disc herniation through costotransversectomy

作　　者：陈昌伟[1] 高燚[1] 李梁[1] 幸永明[1] 

机构地区：[1]浙江省宁波市解放军第一一三医院骨科,315040

出　　处：《中国实用医药》2008年第25期35-36,共2页China Practical Medicine

摘　　要：目的探讨胸椎间盘突出症的鉴别诊断及经关节突入路手术效果。方法对解放军一一三医院1998年以来10例患者选择经关节突入路手术干预,随访时间4～60个月,平均19个月。结果参照Otani分级标准进行疗效评定,其中优5例,良3例,一般2例,总优良率80%。结论胸椎间盘突出症以下胸椎多见,因其发病率低,症状不典型易致漏诊,临床上需提高警惕熟悉诊断要点。有症状的胸椎间盘突出症一经确诊应早期手术,经关节突入路治疗胸椎间盘突出症,具有便于掌握、疗效满意和手术安全性高等优点。Objective To study diagnosis and effect of surgical treatment of thoracic dic herniation through costotransversectomy. Methods From 1998, 10 cases underwent discectomy through costotransversectomy. All cases were followed up 4 -60 months, （mean 19 months）. Results According to Otani grade, there were 5 excellent cases, 3 well, 2 improved. There were no poor cases. The excellent and good rate was 80%. Conclusion The thoracic disc herniation often affects the lower thoracic spine, most of time surgery are needed. Surgery approach through costotransversectomy can improve the clinical result obviously.

关 键 词：胸椎间盘突出症 手术治疗 经关节突入路 

分 类 号：R687.3[医药卫生—骨科学]