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胸椎间盘突出症临床分析
引用本文:王远松,刘振华,周建生.胸椎间盘突出症临床分析[J].解剖与临床,2007,12(3):188-189,192.
作者姓名:王远松  刘振华  周建生
作者单位:233004,安徽蚌埠,蚌埠医学院第一附属医院骨科
摘    要:目的:探讨胸椎间盘突出症的临床特点、诊断及手术方法.方法:分别对9例胸椎间盘突出症患者的临床表现、影像学资料和手术治疗方法进行描述.结果:侧前方入路胸椎间盘摘除术5例,侧后方胸椎间盘摘除术2例,经胸腔侧前方入路椎间盘摘除术2例.随访1~5 a,手术优良率达88.89%.结论:CT或MRI检查对确诊与定位有重要价值,胸椎间盘突出症一旦确诊,应尽早手术治疗,根据不同类型,采取不同的手术方式,可获得较好的疗效.

关 键 词:胸椎  椎间盘移位  外科手术  胸椎间盘突出症  临床分析  Intervertebral  Disc  Thoracic  Surgical  Treatment  疗效  手术方式  类型  手术治疗  价值  定位  检查  良率  随访  经胸腔  椎间盘摘除术  前方入路  结果  描述  治疗方法
文章编号:1671-7163(2007)03-0188-03
修稿时间:2006-08-21

Diagnosis and Surgical Treatment for Protrusion of Thoracic Intervertebral Disc
Wang Yuansong,Liu Zhenghua,Zhou Jiansheng.Diagnosis and Surgical Treatment for Protrusion of Thoracic Intervertebral Disc[J].Anatomy and Clinics,2007,12(3):188-189,192.
Authors:Wang Yuansong  Liu Zhenghua  Zhou Jiansheng
Affiliation:Department of Orthopedics, the First Affiliated Hospital of Bengbu Medical College, Bengbu,Anhui 233004 ,China
Abstract:Objective:To study the clinical manifestation,diagnosis and surgical therapeutic regimens of protrusion of thoracic intervertebral disc(PTID).Methods:The clinical manifestations,image data and therapeutic methods of 9 cases with PTID were analyzed.Results:The thoracic disc herniations of 5 cases were resected with costotransversectomy through anterolateral approaches and 2 through posterolateral approaches.Other 2 cases with PTID received diskectomy by transthoracic approaches.The follow-up period was from 1 to 5 years.The excellent and good results were obtained in 88.89 % of the patients.Conclusion:CT or MRI is a valuable method for diagnosis and location of PTID.Once PTID was final diagnosed,surgical treatment should be chosen as soon as possible.
Keywords:Thoracic vertebra  Intervertebral disk displacement  Surgical intervention
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