钙化型胸椎间盘突出症手术治疗进展△

Progress in the surgical treatment for calcified thoracic disc herniation

摘要:

钙化型胸椎间盘突出症是临床上少见的一种疾病，早期临床表现通常为无症状或者疼痛，当保守治疗失败或出现脊髓、神经功能障碍时则需要进行手术治疗。手术治疗的入路方式众多，包括经胸前入路、后入路、后外侧入路等，临床上微创内镜技术的应用也逐渐增加，并取得了良好的治疗效果。对于不同位置及大小的钙化椎间盘采取何种入路方式至关重要，术者应根据完善的影像学检查制定合适的治疗策略，选择合适的入路方式，提高手术效果并且降低术后并发症的发生。本文就钙化型胸椎间盘突出症手术治疗的入路方式进行综述，为钙化型胸椎间盘突出症手术治疗的入路选择提供参考。

Abstract:

Calcified thoracic disc herniation is a rare disease in clinical practice, and its clinical manifestations are usually asymptomat-ic or painful in the early stage. However, as conservative treatment failed, or spinal cord and nerve dysfunction occurred, surgical interven-tion must be conducted. There are many approaches for surgical treatment, including transthoracic approach, posterior approach, posterolat-eral approach, etc. The application of minimally invasive endoscopic techniques in clinical practice has also gradually increased andachieved good clinical outcomes. For different positions and sizes of calcified intervertebral discs, the approach is very important, and thesurgeon should formulate appropriate treatment strategies according to the perfect imaging examination, select the appropriate approach, im-prove the surgical outcomes and reduce the incidence of postoperative complications. This article reviews the surgical approach for calcifiedthoracic disc herniation, and provides reference for the selection of surgical approach for calcified thoracic disc herniation.