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改良肋横突切除术以处理位于脊髓腹侧的病变。初步报告。

Modification of costotransversectomy to approach ventrally located intraspinal lesions. Preliminary report.

作者信息

Hamburger C

机构信息

Departement of Neurosurgery, Ludwig-Maximilians-University Munich, Grosshadern University Hospital, Federal Republic of Germany.

出版信息

Acta Neurochir (Wien). 1995;136(1-2):12-5. doi: 10.1007/BF01411429.

DOI:10.1007/BF01411429
PMID:8748821
Abstract

To minimize tissue trauma and to reduce pulmonary complications a modification of costotransversectomy is presented. This procedure has been carried out in 6 patients with ventrally located space occupying lesions in the spinal canal. The results are good, complications did not occur. We consider this technique to be less traumatic than conventional costotransversectomy while giving the same results. Whether the complication rate is lower has yet to be proved in a larger series.

摘要

为了将组织创伤降至最低并减少肺部并发症,我们提出了一种改良的肋横突切除术。该手术已在6例椎管内腹侧占位性病变患者中实施。结果良好,未发生并发症。我们认为该技术比传统肋横突切除术创伤性更小,同时能取得相同的效果。并发症发生率是否更低还有待在更大规模的系列研究中得到证实。

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引用本文的文献

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Resection of a ventrally located ossified thoracic spinal meningioma: illustrative case.腹侧骨化性胸椎脊膜瘤切除术:病例展示
J Neurosurg Case Lessons. 2025 Jan 13;9(2). doi: 10.3171/CASE24603.

本文引用的文献

1
Modified costotransversectomy: a surgical approach to ventrally placed lesions in the thoracic spinal canal.改良肋横突切除术:一种治疗胸段椎管内腹侧病变的手术方法。
Surg Neurol. 1980 Feb;13(2):109-13.
2
Diagnosis and treatment of thoracic intervertebral disc protrusions.胸椎间盘突出症的诊断与治疗
J Neurol Neurosurg Psychiatry. 1971 Feb;34(1):68-77. doi: 10.1136/jnnp.34.1.68.
3
Thoracic disc herniation. Improved diagnosis with computed tomographic scanning and a review of the literature.胸椎间盘突出症。计算机断层扫描对其诊断的改进及文献综述。
Surg Neurol. 1985 Apr;23(4):356-61. doi: 10.1016/0090-3019(85)90206-x.
4
Surgical approaches to the thoracolumbar spine.胸腰椎脊柱的手术入路
Clin Neurosurg. 1990;36:168-85.
5
Lateral extracavitary approach to traumatic lesions of the thoracic and lumbar spine.胸腰椎创伤性病变的外侧腔外入路
J Neurosurg. 1976 Dec;45(6):628-37. doi: 10.3171/jns.1976.45.6.0628.
6
A surgical approach through the pedicle to protruded thoracic discs.一种经椎弓根入路治疗胸椎间盘突出症的手术方法。
J Neurosurg. 1978 May;48(5):768-72. doi: 10.3171/jns.1978.48.5.0768.