胸椎间盘突出症的诊断和手术治疗

Diagnosis and Operative treatment of the thoracic disc herniation

目的 :回顾性研究 30例胸椎间盘突出症的临床表现、诊断及手术治疗效果。方法 :分别对胸椎间盘突出症的临床表现、影像学特征和手术治疗方法进行描述。结果 :后路全椎板切除减压5例 ,侧后方或侧前方入路摘除致压物 14例 ,后路全椎板切除侧后方入路摘除致压物 11例 ,术后随访 1～ 8年 ,手术优良率达 83.4% ,结论 :胸椎侧后方或侧前方入路摘除椎间盘及后路全椎板切除侧后方入路摘除椎间盘是手术治疗胸椎间盘突出症的有效术式。

Objective:The clinical manifestation,diagnosis and surgical results of 30 cases with thoracic disc herniation were studied.Method:The clinical manifestation,imaging feature and operative treatment methods were sperately described.Results:The thoracic disc herniation of 5 cases were resected with laminectomy through posterior approach,14 cases were removed with transversoarthropediculectomy through posterolateral approach or costotransversectomy through anterolateral approach and 12 cases were resected with both laminectomy and transversoarthropediculectomy. The following up period was from 1 to 8 years,excellent and good results were obtained in 83.6% of the patients. Conclusion: Operative treatment is a very effective way with posterolateral or anterolateral approach and both laminectomy and transversoarthropediculectomy for thoracic disc herniation.