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一个迷你胸椎切除术胸椎间盘的逆脉微隔膜切除术:一个案例报告

Geok Hwee Teo¹, Mohd Hisam Muhamad Ariffin², Suffian Sabri²

¹Orthopaedic Surgery, Melaka Hospital, Melaka, MYS.

|November 10, 2025

概括

症状性胸椎间盘 (TDH) 很少见,但可能导致严重的脊髓压缩. 一种微创手术成功治疗了一位患有TDH的患者,恢复了他的行走能力.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
最少侵入性手术的方法

背景情况:

症状性胸椎间盘 (TDH) 是一种不常见的疾病,由于细微的症状,经常出现延迟诊断.
狭窄的胸脊道使即使是小的也能够引起显著的脊髓压缩和骨髓病变.
患有二次性TDH进展性神经缺陷的患者通常需要手术干预.

研究的目的:

报告一个成功手术治疗胸椎间盘 (TDH) 导致胸部骨髓病的病例.
为了突出侧面迷你胸腔切除术的有效性和安全性,用于TDH.

主要方法:

一名62岁的患有胸部骨髓损伤的男性患者使用外视镜进行了侧向迷你开放式逆流性微隔膜切除术.
一个小的切口和肋骨切除允许回流性进入,为腹脊髓减压而创建的脊椎体腔.
发现是慢性和粘附的椎间盘,经过手术切除.

主要成果:

患者在术后经历了神经功能显著改善,恢复了行走能力.
侧面的迷你胸腔切除术 (Retropleural Microdiscectomy) 方法提供了有效的脊髓减压.
该程序与最少的侵入性和成功移除慢性椎间盘的相关.

结论:

侧面微胸切除术 (lateral mini-thoracotomy) 背向微胸切除术 (retropleural microdiscectomy) 是一种安全有效的最小侵入性技术,用于治疗胸椎间盘 (TDH).
这种方法比传统的开放胸切除术具有优势,包括降低发病率和更快的恢复.
早期的手术减压对于患有TDH进展性神经缺陷的患者至关重要.

关键词:

这是一种微型解剖手术.迷你胸部切除术 (Mini Thoracotomy) 是一个小型的胸部切除术.胸椎椎间盘的发生胸部骨髓病变 - 胸部骨髓病变穿越胸部的反向推进方法.

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