【摘要】 目的:探讨保留并不切断肋骨经肋间隙入路治疗胸椎疾病的可行性。方法:对45例胸椎疾病患者,保留肋骨经肋间隙入路暴露病变椎体,进行病灶清除、脓肿引流、脊髓减压、骨折复位固定或植骨融合等手术。结果:手术切口平均长度(17.6±1.1)cm,视野纵向平均直径(12.1±1.6)cm,开关胸方便快捷,术中术后出血量少,术后胸腔引流管放置时间及住院时间短。结论:该术式能满足大部分胸椎手术操作的要求,是治疗胸椎疾病理想的手术入路方式。更多还原

【Abstract】 Objective:To investigate the feasibility of surgical method of ribs-reserved in the treatment of thoracic vertebrae diseases through intercostal space.Methods:45patients with thoracic vertebrae diseases accepted the ribs-reserved operation through the intercostal space to expose the diseased vertebra,followed by debridement,abscess drainage,spinal decompression,fracture fixation or bone fusion surgery.Results:The average incision length was(17.6±1.1)cm,the mean diameter vertical field of view was(12.1±1.6)cm,switch chest surgery was quick,safe and convenient,and all the patients were successfully operated with less amount of bleeding loss,lesspostoperative chest tube placement time and shorter hospital stay.Conclusion:The approach can meet most of the requirements of the thoracic vertebrae surgical procedures,and it is the ideal surgical approach for the treatment of thoracic vertebrae diseases.更多还原