保留肋骨经肋间隙入路治疗胸椎疾病45例

Ribs-reserved intercostal space approach in treating 45 cases of thoracic vertebrae diseases

目的:探讨保留并不切断肋骨经肋间隙入路治疗胸椎疾病的可行性。方法:对45例胸椎疾病患者,保留肋骨经肋间隙入路暴露病变椎体,进行病灶清除、脓肿引流、脊髓减压、骨折复位固定或植骨融合等手术。结果:手术切口平均长度(17.6±1.1)cm,视野纵向平均直径(12.1±1.6)cm,开关胸方便快捷,术中术后出血量少,术后胸腔引流管放置时间及住院时间短。结论:该术式能满足大部分胸椎手术操作的要求,是治疗胸椎疾病理想的手术入路方式。

Objective： To investigate the feasibility of surgical method of ribsreserved in the treat- ment of thoracic vertebrae diseases through intercostal space. Methods： 45 patients with thoracic vertebrae diseases accepted the ribsreserved operation through the intercostal space to expose the diseased vertebra, followed by debridement, abscess drainage, spinal decompression, fracture fixation or bone fusion surgery. Results： The average incision length was（ 17.6±1.1） cm, the mean diameter vertical field of view was（12.1±1.6） cm, switch chest surgery was quick, safe and convenient, and all the patients were successfully operated with less amount of bleeding loss, less postoperative chest tube placement time and shorter hospital stay. Conclusion meet most of the requirements of the thoracic vertebrae surgical procedures, an gical approach for the treatment of thoracic vertebrae diseases. ： The approach can d it is the ideal surgical approach for the treatment of thoracic vertebrae diseases.