摘要
目的 :探讨与总结胸椎管狭窄的诊断与治疗经验。方法 :对 2 3例通过症状、体征及MRI诊断的胸椎管狭窄病人经后路椎板切除减压术 ,术后进行疗效随访与评估。结果 :2 3例共随访到 19例 ,其中 1例 3个节段 ,进行了 3次手术。随访时间 1～ 9年 ,其中优 2 8.6% ( 6例 ) ,良 3 3 .3 % ( 7例 ) ,中 19.0 % ( 4例 ) ,差 19.0 % ( 4例 ) ,优良率为 61.9%。结论 :在术中SEP或MEP肌电监护下进行后路胸椎管减压是治疗胸椎管狭窄的较好手段。
Objective: To analyze and summarize the experiences of the thoracic spinal canal stenosis.Methods:Twenty three cases of thoracic spinal stenosis were treated with laminectomy decompression,which diagnoses were made by the clinical manifestations,symptoms and results of the MRI.Results:Nineteen cases were followed up in 1 to 9 years afer operation.Among them,28.6% cases had excellent outcome,33.3% good,19.0% fair,and 19.0% poor outcome.Conclusions:Thoracic spinal canal decompression by posterior approach under the monitor of SEP or MEP was a good procedure for the treatment of thoracic spinal canal stenosis.
出处
《中国矫形外科杂志》
CAS
CSCD
2000年第7期639-641,共3页
Orthopedic Journal of China
关键词
胸椎管狭窄
诊断
治疗
外科手术
Thoracic spinal canal stenosis Diagnosis Surgery
