椎旁肌间隙入路在胸腰椎手术中的应用进展  

Application progress of paraspinal inlet surgery in treatment of thoracolumbar vertebras

作　　者：陆军海 贝抗胜[1] 熊英辉[1] 

机构地区：[1]粤北人民医院骨二科,韶关512026

出　　处：《中华损伤与修复杂志（电子版）》2013年第1期62-65,共4页Chinese Journal of Injury Repair and Wound Healing(Electronic Edition)

摘　　要：在胸腰椎后方手术入路的应用中,胸腰椎椎旁肌间隙入路是一种对椎旁肌肉损失较小,有利于保持脊柱稳定性的手术入路方式。与传统后正中手术入路相比,该入路可以避免椎旁肌的过度牵拉和剥离,防止出现椎旁肌肉缺血变性,具有显露方便、出血少、手术时间短、术后腰椎综合征和腰背肌无力发病率低、卧床时间短、恢复快等优点。该手术方式适用于胸腰椎骨折、腰椎滑脱、极外侧腰椎间盘突出症等大部分胸腰椎后路手术。本文回顾分析近年国内外相关文献中关于椎旁肌间隙入路在胸腰椎手术中的应用进展,以期为其在临床工作中的应用提供参考。Wiltse paraspinal inlet surgery is a kind of thoracolumbar vertebrally surgical inlets in posterior thoracolumbar vertebras surgery, which is with less damage to the paraspinal muscles and good for protecting the stability of the spinal column. Compared with the traditionally middle approach, the paraspinal muscles can obviate the over pull and dissection, then it can prevent the ischemic modification of the paraspinal muscles. Its advantages also can be seen as follows： revealing easily, less bloodshed, less surgery time, fewer incidence of the failed back surgery syndrome and myasthenia of the lumbar dorsal muscles, less decubital time and faster recuperating. This surgical inlet can be used in most of the thoracolumbar vertebras posterior surgeries such as thoracolumbar vertebras fracture, spondylolisthesis, the most lateral lumbar intervertebral disc protrusion, etc. This review retrospectively analyses the pertinent literature of recent years both here and abroad in the area of the application progress of Wihse paraspinal inlet surgery, and to make reference for the clinical work.

关 键 词：椎旁肌间隙 椎旁肌间隙入路 胸椎 腰椎 

分 类 号：R687.3[医药卫生—骨科学]