胸腔镜技术在特发性脊柱侧凸前路手术中的应用

Anterior Thoracoscopic Approach of Thoracic Spine in Adolescent Idiopathic Scoliosis

应用前路手术治疗特发性胸段脊柱侧凸正逐渐增多,而应用胸腔镜微创技术进行前路手术可以进行胸椎间盘切除、椎间融合、脊柱矫形内固定、胸廓成形等操作。在特发性胸段脊柱侧凸的前路手术治疗上,胸腔镜前路手术具有创伤小、恢复快、术后疼痛轻、肺功能影响小等优势。虽然目前此项技术还存在不足,但随着该技术的不断发展,其应用前景广阔。

The use of anterior surgical techniques for the treatment of adolescent idiopathic scoliosis(AIS)has increased recently and anterior discectomy, anterior release and fusion, instrumentation of the thoracic scoliosis can be performed through a thoracoscopic approach. The thoracoscopic approach has several advantages small surgical trauma, early return to work, reduced postoperative pain and improved postoperative respiratory functions. Although the thoracoscopic approach still has some shortcomings currently, it will be widely accepted with further development of this technique and instrumentations in the future.