[1]郑亚才　 严康宁　 李应国　 李洪瀚　 陈进鸿　 林文祥　 柯顺忠　 林建聪.胸腔镜技术在胸椎、上腰椎前路手术的应用[J].中国微创外科杂志,2004,04(4):307-308.
　Zheng Yacai,Yan Kangning,Li Yingguo,et al.Application of anterior approach video-assisted thoracoscopy in thoracic and upper lumbar spine[J].Chinese Journal of Minimally Invasive Surgery,2004,04(4):307-308.
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胸腔镜技术在胸椎、上腰椎前路手术的应用
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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:
307-308
栏目:
出版日期:
2004-04-30

文章信息/Info

Title:
Application of anterior approach video-assisted thoracoscopy in thoracic and upper lumbar spine
作者:
郑亚才　 严康宁　 李应国　 李洪瀚　 陈进鸿　 林文祥　 柯顺忠　 林建聪
福建省漳州市医院骨科,漳州,363000
Author(s):
Zheng Yacai; Yan Kangning; Li Yingguo; et al.
Department ofOrthopedics,Zhangzhou MunicipalHospital,Zhangzhou363000,China
关键词:
胸腔镜; 脊柱结核; 脊柱损伤; 前路手术; 内固定
Keywords:
Thoracoscopy; 　Spinal tuberculosis; 　Spinal injury; 　Anterior approach surgery; 　Internal fixation
分类号:
R683.2;R529.23
文献标志码:
A
摘要:
目的探讨胸椎、上腰椎前路手术应用胸腔镜技术的可行性. 方法 5例胸、腰椎结核(T6～L2)行胸腔镜下结核病灶清除、植骨或非植骨术;3例椎体爆裂性骨折合并截瘫(T10～T12)及1例陈旧性椎体爆裂骨折合并马尾综合征(L1)行胸腔镜下脊髓减压、植骨、钢板螺丝钉内固定术;1例T3～4椎间盘突出伴脊髓压迫症行胸腔镜下减压融合术. 结果全部病例切口Ⅰ期愈合,CT或MRI显示病灶清除彻底,脊髓充分减压,除1例骨折复位、固定后仍有轻度成角畸形外,均复位满意,内固定可靠,位置良好. 结论胸椎、上腰椎疾患,不论是否并发脊髓、马尾神经压迫,都适宜在胸腔镜辅助下进行病灶清除术,必要时还可进行脊髓减压、脊柱前路植骨、内固定手术.
Abstract:
Objective　To discuss the feasibility of application of anterior approach video-assisted thoracoscopic surgery (VATS) in thoracic and upper lumbar spine.　Methods　In the study there were: 5 patients with tuberculosis of thoracic or lumbar spine (T6~ L2) undergoing thoracoscopic cleaning of focus,with orwithout bone grafting; 3 patientswith vertebral burst fracture (T10~T12) and 1 patientwith old burst fracture (L1) accompanied with cauda equina syndrome undergoing thoracoscopic decompression,bone grafting and plate screw internal fixation; 1 patient with intervertebral disc protrusion (T3 ~ 4) accompanied with spinal compression receiving thoracoscopic decompression and spondylodesis.　Results　The incisions in all the patients healed by first intention.CTorMRI examinations revealed that: the foci had been cleaned thoroughly and the spinal cords had been decompressed completely; the reduction was satisfactory,except for 1 patient with slight angulation deformity; the internal fixation was stable,with proper position.　Conclusions　VATS focus cleaning is suitable for patients with diseases in thoracic or upper lumbar spine,regardless of whether there is compression of spinal cord or cauda equine or not, and,if necessary,spinal decompression,anterior bone grafting,or internal fixation may be conducted simultaneously.

参考文献/References:

［1］Mack MJ,Regan JJ,McAfee PC,et al.Video-assisted thoracic surgery for the anterior approach to the thoracic spine.Ann Thorac Surg ,1995,59:1100-1106.
［2］Regan JJ,Mack MJ,Picetti GD 3rd.A technical report on video-assisted thoracoscopy in thoracic spinal surgery.Spine,1995,20:831-837.
［3］徐华梓,池永龙,林焱,等.扩大操作切口的电视胸腔镜下胸椎结核前路手术.中华骨科杂志,2000,20:287-288.
［4］谭军,蔡恒铎,费雪洁.胸椎疾患的胸腔镜下手术.国外医学骨科学分册,2002,23:179-181.
［5］Dickman CA,Rosenthal D,Karahalios DG,et al.Thoracic vertebrectomy and reconstruction using a microsurgical thoracoscopic approach.Neurosurgery,1996,38:279-293.

更新日期/Last Update: 2014-06-09