胸椎间盘突出症诊断思路与术式选择

目的：探讨胸椎间盘突出症的诊断与术式选择。方法：分析胸椎间盘突出症１３例临床资料，观察其临床特点及影像学改变。１３例均行后方入路侧前方减压术。结果：临床表现均以胸髓损害为主，中央型突出９例，旁中央型４例。ＭＲＩ可明确显示其类型。１３例术后随访平均３．５年（６个月～７年），优良率为８４．６％（１１／１３）。结论：正规理学检查是诊断本病的必要前提，ＭＲＩ对确诊及预后判定具有重要价值。侧前方减压能彻底去

The diagnosis procedure nd choice of operative methods of thoracic disc herniation

Objective:To study the diagnosis and operative indication of thoracic disc herniation.Methods:The clinical appearances and imaging data from 13 cases with thoracic disc herniation were analysed.All patients were operated upon from posterior approach and anterolateral decompression.Results:The clinical characteristics were important appearance of thoracic cord injury.Among them,central herniations were diagnosed in 9, and paramedian in 4 according to the MRI findings.All of them were followed for an average of 3.5years(6months-7years),and excellent and good results were achieved in 84.6%.Conclusion:Systematic examination is necessary foundation of diagnosis for thoracic disc herniation. MRI is valuable for the diagnosis for thoracic disc herniation.The anterolateral decompression is able to excise thoroughly herniated disk and osteophytes.This approach is safe and effective.