摘要
目的 :回顾性地研究了 32例胸椎黄韧带骨化症 (OTL F)的临床表现、诊断及手术治疗效果。方法 :对 1990年～ 1999年收治的 32例 OTL F病人的临床表现、影像学特征和手术方法及结果进行描述。其中黄韧带骨化 95处 ,合并胸椎间盘突出 (TDH) 8例 ,后纵韧带骨化 (OPL L ) 6例。 32例病人均经手术治疗。结果 :32例均经病理证实为OTL F。 30例随访 5～ 72月。根据下肢感觉和运动功能恢复情况进行评价 :优 11例 ;良 10例 ;可 7例 ;差 2例 ,优良率73.3% ,有效率 93.3%。无严重并发症发生。结论 :OTL F临床表现无特征性 :MRI结合 CT检查是诊断 OTL F的最佳影像学手段 ;
Objective:The clinical manifestation,diagnosis and operative results of 32 cases with ossification of the thoracic ligamentum flavum (OTLF) were respectively studied.Methods:The clinical manifestation、imaging character、Surgical methods and clinical results of 32 cases of OTLF which were treated between 1990 and 1999 were described,and 95 regions of OTLF were showed.Among them 8 cases had thoracic disc herniation (TDH),and 6 cases had ossification of posterior longitudinal ligament (OPLL).All of the patients have undergone operation.Results:The pathological reports of all the cases after operation approved the diagnosis of OTLF.30 cases of patients were followed,the following up period was from 5 to 72 months.All of the 30 cases were evaluated according to the function recovery of sense and motion of the lumbs,and excellent 11 cases,good 10 cases,middle 7 cases,poor 1 cases,Excellent and good rate was 73.3%,efficient rate was 93.3%.Not any serious complication have occured.Conclusion:The manifestation of OTLF have not characterization.MRI combine with CT is a best method for the diagnosis of OTLF.Operative decompression is an available treatable method for OTLF.
出处
《实用骨科杂志》
2001年第1期1-4,共4页
Journal of Practical Orthopaedics
关键词
诊断
胸椎黄韧带骨化症
外科手术
OTLF
Thoracic spinal canal
Ligamentum flavum
Ossification
Diagnosis
Operation
