胸椎间盘突出症临床分析

Diagnosis and Surgical Treatment for Protrusion of Thoracic Intervertebral Disc

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1～5a,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。

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. Re, stilts：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 l 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.