胸椎管狭窄症合并椎管内痛风石1例报道  

A case report of thoracic spinal stenosis combined with tophus

作　　者：郭山强 陶君 孙双喜 苘乾峰 郭琦 Guo Shanqiang;Tao Jun;Sun Shuangxi;Qing Qianfeng;Guo Qi(Spinal Surgery Department,Weihai Central Hospital Affiliated to Qingdao University,Weihai 264400,Shandong,China)

机构地区：[1]青岛大学附属威海市中心医院脊柱外科,山东威海264400

出　　处：《中国现代手术学杂志》2023年第2期124-126,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨胸椎管狭窄症合并痛风石的影像学表现、病理学特征和治疗方法。方法综合分析1例胸椎管狭窄症合并痛风石病人的临床资料,并进行相关文献复习。结果完善术前准备后,在全麻下行胸椎管狭窄后路减压T10~T11节段黄韧带增生肥厚并部分钙化,呈黄白色石灰状沉积物,胸髓受压严重,显微镜下可见痛风结节。术后患者症状明显缓解,疗效满意。结论胸椎管狭窄症合并痛风石临床表现不具备典型性,可结合患者自身疾病及病理学特征进行诊断,手术治疗疗效确切。Objective To explore the imaging manifestations,pathological types,and treatment methods of thoracic spinal stenosis combined with tophus.Method A comprehensive analysis was conducted on the case data of a patient with thoracic spinal stenosis complicated with tophus,and relevant literature was reviewed.Results The patient received posterior decompression,bone graft fusion and internal fixation for thoracic spinal stenosis under general anesthesia.During the surgery,it was found that hypertrophy and partial calcification of the ligamentum flavum at segment T10~T11,presenting as yellow white calcareous deposits.The thoracic cord was severely compressed,and postoperative pathology revealed the existence of tophus.The postoperative symptoms significantly relieved,and the therapeutic effect was satisfactory.Conclusion The clinical manifestations of thoracic spinal stenosis combined with tophus are not typical,and diagnosis depends on the clinical manifestations and pathological characteristics.It can achieve satisfactory clinical efficacy after surgery.

关 键 词：胸椎管狭窄症 胸椎黄韧带 痛风石 

分 类 号：R687.3[医药卫生—骨科学]