经关节突入路手术治疗胸椎间盘突出症(1)
【摘要】 目的 探讨胸椎间盘突出症的鉴别诊断及经关节突入路手术效果。方法 对解放军一一三医院1998年以来10例患者选择经关节突入路手术干预，随访时间4~60个月，平均19个月。结果 参照Otani分级标准进行疗效评定，其中优5例，良3例，一般2例，总优良率80%。结论 胸椎间盘突出症以下胸椎多见，因其发病率低，症状不典型易致漏诊，临床上需提高警惕熟悉诊断要点。有症状的胸椎间盘突出症一经确诊应早期手术，经关节突入路治疗胸椎间盘突出症，具有便于掌握、疗效满意和手术安全性高等优点。【关键词】胸椎间盘突出症；手术治疗；经关节突入路
Surgical treatment of thoracic disc herniation through costotransversectomy
CHEN Chang-wei，GAO Yi,LI Liang,et al.Department of Orthopaedics Surgery, the 113 Hospitai of PLA, Ningbo, 315040,China
【Abstract】 Objective To study diagnosis and effect of surgical treatment of thoracic dic herniation through costotransversectomy.Methods From 1998, 10 cases underwent discectomy through costotransversectomy.All cases were followed up 4-60 months, (mean 19 months).Results According to Otani grade, there were 5 excellent cases, 3 well, 2 improved.There were no poor cases.The excellent and good rate was 80%.Conclusion The thoracic disc herniation often affects the lower thoracic spine, most of time surgery are needed.Surgery approach through costotransversectomy can improve the clinical result obviously. ......
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