“微创”操作减压术治疗胸椎管狭窄症  

Study on the treatment of thoracic spinal stenosis by posterior minimal invasive decompression

作　　者：冯世庆[1] 王沛[1] 郭世绂[1] 马信龙[1] 邰杰[1] 郑永发[1] 孙景成[1] 张义修[1] 阮文东[1] 孙振辉[1] 

机构地区：[1]天津医科大学总医院骨科,天津市300052

出　　处：《中国脊柱脊髓杂志》2003年第8期474-476,共3页Chinese Journal of Spine and Spinal Cord

摘　　要：目的:探讨后路“微创”操作减压术治疗胸椎管狭窄症的疗效。方法:对68例胸椎管狭窄症患者采用“削薄”、“打磨”、“漂浮”、“蚕食”等微创操作行后路椎板切除椎管减压术,术后随访1～8年(平均20个月),根据脊髓功能评分进行疗效综合评价。结果:68例患者中优27例(39.7%),良24例(35.2%),可10例(14.7%),差7例(10.2%),优良率为75.0%。疗效差的7例患者中2例为脊髓压迫时间过长导致不可逆性脊髓损伤;3例为外院术后疗效不佳于我院行二次手术;2例为胸椎管狭窄合并颈脊髓压迫症患者。结论:后路“微创”操作减压术是治疗胸椎管狭窄症的一种安全、有效、可行的手术方法。Objective:To evaluate the effect of the treatment of thoracic spinal stenosis by posterior minimal invasive decompression.Method:68patients with thoracic spinal stenosis were treated by the minimal invasive decompression such as:shaving,grinding,floating,notch eaten etc.All patients were followed up for1～8years,and the recovery of the spinal cord function was analyzed according Mann's assessment.Result:We found that27cases were excellent(39.7%),24cases good(35.2%),10cases fair(14.7%),7cases poor(10.2%).Conclusion:The posterior minimal invasive decompression is really an effective and safe procedure to treat the thoracic spinal stenosis.

关 键 词：胸椎管狭窄症 脊髓功能 减压术 微创外科 影像学检查 

分 类 号：R681.5[医药卫生—骨科学]