[1]邱勇　 王斌　 李卫国　 朱锋.胸腔镜下脊柱侧凸前方松解和矫形术中的解剖定位及其意义[J].中国微创外科杂志,2004,04(4):302-303.
　Qiu Yong,WangBin,Li Weiguo,et al.Thoracoscopic anterior release and restoration for scoliosis: Anatomic localization and its clinical significance[J].Chinese Journal of Minimally Invasive Surgery,2004,04(4):302-303.
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胸腔镜下脊柱侧凸前方松解和矫形术中的解剖定位及其意义
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
04
期数:
2004年4期
页码:
302-303
栏目:
出版日期:
2004-04-30

文章信息/Info

Title:
Thoracoscopic anterior release and restoration for scoliosis: Anatomic localization and its clinical significance
作者:
邱勇　 王斌　 李卫国　 朱锋　
南京大学医学院附属鼓楼医院脊柱外科,南京,210008
Author(s):
Qiu Yong; WangBin;  Li Weiguo; et al.
Department ofSpinal Surgery,Affiliated GulouHospital ofNanjing UniversityMedical School,Nanjing210008,China
关键词:
胸腔镜; 脊柱侧凸; 解剖
Keywords:
Thoracoscopy; 　Scoliosis; 　Anatomy
分类号:
R682.3
文献标志码:
A
摘要:
目的观察胸腔内解剖结构在胸腔镜下的标记,以助于术中的定位及预防并发症. 方法对23例胸腔镜下的脊柱前路手术进行了解剖标志的观察,主要指标为节段血管、奇静脉、椎间盘、肋骨头及内脏大神经. 结果 T6～10节段血管位于椎体中央,较为恒定.T7～10椎间盘隆起,呈白色,易于辨别.各椎体对应的肋骨头清晰可辨.内脏大神经于T7～9处斜行跨越椎体. 结论借助于解剖标志可对椎体定位,以避免操作进入椎管损害脊髓,并大大减少X线的投照次数.
Abstract:
Objective　To observe the anatomic landmarks in the thoracic cavity under thoracoscope in procedures for scoliosis,so as to facilitate the intraoperative localization and the prevention of complications.　Methods　During 23 cases of thoracoscopic anterior procedure,anatomic landmarks,including the segmental vessels,azygous vein,intervertebral discs,rib heads and great splanchnic nerve,were observed.　Results　The segmental vessels ofT6~10were situated atthe center of the vertebral body and their positionwas relatively constant. The T7~10intervertebral discs were a little bit prominent and white-colored,which were easily distinguished.The rib heads corresponding to their vertebral bodies were good landmarks.The great splanchnic nerve crossed over the T7~9vertebral bodies arrisways.　Conclusions　With the assistance of anatomic landmarks,accurate localization of the vertebral body is possible,which is helpful to the prevention of spinal cord injury and the decrease of frequency of radiation exposure.

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更新日期/Last Update: 2014-06-09