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胸椎间盘突出症的外科治疗

Hits: 2171 Download times: 1442 Received:April 20, 2002

作者	Author	单位	Unit	E-Mail
唐长友	TANG Changyou	湘西州中医院骨科,湖南吉首461000	Department of Orthopaedics,Xiangxi Hospital of TCM Hunan Jishou 461000
陈松	CHEN Song	湘西州医院骨科
曾小鹏	ZENG Xiaopeng	湘西州医院骨科
向清国		永顺县医院骨科
罗建平		永顺县医院骨科

期刊信息：《中国骨伤》2003年16卷，第2期，第79-80页

DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz

目的：探讨胸椎间盘突出症的临床特点、手术与术后近期疗效的关系。

方法：17例胸椎间盘突出症患者均行后方入路侧前方减压术,其中3例合并颈、腰椎间盘突出症患者先后或同时予以手术。

结果:全部病例术后症状无加重,14例得到随访,平均4年2个月(6个月～6年),优良率78.4%(11/14).

结论：临床表现以胸髓损害为主,侧前方减压摘除椎间盘是手术治疗胸椎间盘突出症的安全、有效方法,同时应注意勿忽视多发椎间盘突出症(颈、腰)等合并病变的处理。

[关键词]:胸椎椎间盘移位外科手术

Surgical treatment of the thoracic disc herniation

Abstract:

Objective:To explore the clinical characteristic of the thoracic disc herniation and the relationship between operative treatment and short term Results

Methods:17 cases of the thoracic disc herniation were operated from posterior approach and anterolateral decompression was done.Among them,3 cases combined with the cervical or lumbar disc herniation were treated at the same time or first and after.

Results:The symptom in all the cases had not got bad after operation,14 cases of them were followed-up from 6 months to 6 years with an average of 4 year and 2 months.The excellent and good rate was 78.6%.

Conclusion:The clinical symptoms mainly occurred as the injuries of the thoracic spinal cord.The anterolateral decompression to remove the disc hemiation is a safe and effective operation for treatment of the thoracic disc hemiation,meanwhile,complicated cervical/lumbar disc herniation should not be ignored.

KEYWORDS:Thoracic vertebra Intervertebral disk displacement Surgery,operative

引用本文，请按以下格式著录参考文献：

中文格式:	唐长友,陈松,曾小鹏,向清国,罗建平.胸椎间盘突出症的外科治疗[J].中国骨伤,2003,16(2):79~80
英文格式:	TANG Changyou,CHEN Song,ZENG Xiaopeng.Surgical treatment of the thoracic disc herniation[J].zhongguo gu shang / China J Orthop Trauma ,2003,16(2):79~80

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