胸椎间盘突出症6例报告

胸椎间盘突出症是胸椎管压迫症的原因之一，若不能早期诊断和治疗，可致截瘫。本文报告６例，８处间盘，Ｔ＿（１０－１１）２处，Ｔ＿（１１－１２）４处，Ｔ＿（１２）－Ｌ＿１２处，急性型２例，慢性型４例，病程１月－１９年，多在腰、背、腹、腿疼痛后出现脊髓病或马尾神经症状。２例椎管造影误为肿瘤，行后路间盘摘除，后４例经ｃＴＭ确诊后改良椎弓根进路手术减压，随访半年－５年，前２例仅有改善，后４例中３例恢复行走，１例急性者恶化，似和脊髓血供障碍有关。

Tkoracic Disc Herniation with 6 Cases Report

horacic dier berniation is a rare cause of thorcic spinal cord compression. Its results are catastrophic unless recognizedearly and treated promptly. This article ptesented 6 cases and 8 discs(including T10-11 2 discs. T11-12 4 discs, T12- L1 2discs)which were confirmed by operations. According to the onsets. there were 2 cases in acute group and 4 in chronic. Itsmanifestations were complex and the diagnosis was usually delayed. 4 rases were diagnosed by CTM and 2 were misdi-agnosed as iumors in spinal canal. The first 2 cases were opcrated on with lamilectomy approach and later 4 with modifiedtranspediculsr approach. By 3 months to 4 years follow-up, the first 2 cases were slightly improved, the later 4 were re-markably improred in 3 cases and detenorated in 1 acute case which suggested vascular destrurtion of the cord nutrition andnot related to the opetative approach.