摘要
目的 :报告胸椎管狭窄症 19例 ,探讨其特点 ,诊断和治疗。方法 :对本组病例的临床和影像学表现以及手术方法进行了临床分析。结果 :手术治疗 14例 ,随访 11例 ,5个月～ 8年 7个月 ,其中 9例神经功能恢复满意。结论 :胸髓受压引起的不同程度的瘫痪是本症的主要临床表现 ,CT和MRI对诊断和治疗具有指导意义。经后路全椎板切除减压是手术方法之一 ,对合并椎间盘突出者 ,椎板切除后 ,可以通过扩大一侧或两侧硬膜前外侧间隙 ,潜行切除突出间盘。
cases of the thoracic vertebral canal stenosis were reported. The lower thoracic levels are particular vulnerable to this degenerative process. The manifestations are variable degree of paralysis caused by thoracic spinal cord compression. CT and MRI scans are valuable for guiding diagnosis and surgical treatment. Among the patients, 14 cases were operated and complete laminectomy decompression were performed. We removed herniated disc through one or both side of anterolateral direction of the dura for the cases that associated with disc protrusion. 11 cases were followed up for 5 to 103 months and 9 had satisfactory results.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第2期135-137,共3页
Orthopedic Journal of China
关键词
胸椎管狭窄症
诊断
治疗
外科手术
Thoracic vertebral canal Stenosis Diagnosis Treatment
