摘要
报告了两例颈胸交界处脊髓腹侧硬脊膜外病变的手术治疗。采用经颈胸联合入路纵劈胸骨向下牵拉主动脉弓可充分显露上胸椎椎体前方，利用高速气动钻及显微外科技术，病变可获全切，术后两例患者均获良好恢复。文中详细讨论了手术过程。上胸椎前方病变的显露通常较为困难，作者采用颈胸联合入路，可充分显露该部位病变，疗效满意。适应于上胸椎及颈胸交界处椎体及硬膜外病变的治疗。
Anteriorly located lesions in the upper thoracic region are usually difficult to expose, The authors report a combined cervico-thoracic approach for removal of ventral epidural mass in the cervico-thoracic junction in two cases. By splitting the sternum and retracting down the aortic arch, good exposure of the anterior surface of T_(1～3) vertebrae was obtained. The masses were removed completely with microsurgical techniques, The patients made good recovery after surgery, The combined cervico-thoracic approach used by the authors provided a safe and good access to lesions in this region, The surgical details are described.
出处
《中华神经外科杂志》
CSCD
北大核心
1996年第3期150-152,共3页
Chinese Journal of Neurosurgery
