微创开胸术与胸腔镜治疗胸椎间盘突出症临床比较

Comparison of the mini-thoracotomy (mini-TTA)and thoracoscopy for the treatment of calcified thoracic herniated disc

目的对微创开胸术(mini-thoracotomy,Mini-TTA)与胸腔镜术治疗钙化的胸椎间盘突出症进行临床疗效对比。方法调查自2001年以来,对接受过胸腔镜术或者微创术治疗胸椎间盘突出症的患者进行回访,资料包括术前临床症状、椎间盘突出程度、突出椎间盘的钙化、硬膜囊受压程度、手术持续时间、损失血量、术中并发症、以及胸腔置管和在ICU病房停留时间、术后恢复的程度和并发症。结果7例患者接受过胸腔镜术,21例接收过mini-TTA。虽然两组人数有限,但是在性别、年龄、手术的持续时间、胸腔引流所需的时间,术中损失血量,术后在ICU病房的停留时间上差异无显著性。术后CT证实所有患者的钙化灶被完全清除。结论mini-TTA在理论上优于胸腔镜术,它也是一种微创性手术,并且胸腔镜术不易掌握,而mini-TTA应用简单,外科手术操作技术易于掌握。

【Objective】To compare the clinic curative effects of the mini-thoracotomy (mini-TTA) and thora-coscopy for the treatment of calcified thoracic herniated disc. 【Methods】Retrospectively, data were retrieved from all patients with a thoracic disc herniation who underwent a minimally invasive approach by thoracoscopy or mini- TTA since 2001.Data collected included the preoperative clinical situation, the level of the herniation, calcification of the herniated disc, intradural extension of the herniated disc, du...