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題名 | Thoracic Disc Herniation Treated by Video-Assisted Thoracoscopic Surgery: Case Report=以影像輔助之胸腔鏡手術治療胸椎椎間盤突出症:病例報告 |
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作者 | 李晏瑤; 黃聰仁; 劉會平; 許文蔚; | 書刊名 | 長庚醫學 |
卷期 | 21:4 1998.12[民87.12] |
頁次 | 頁453-457 |
分類號 | 416.61 |
關鍵詞 | 影像輔助之胸腔鏡手術; 胸椎椎間盤突出; Video-assisted thoracoscopic surgery; VATS; Thoracic disc herniation; |
語文 | 英文(English) |
中文摘要 | 胸椎椎間盤突出比起頸椎或腰腰椎椎間盤突出的發生率為低,其接受手術治療患者 大約佔所有椎間盤突出病患接受手術治療者的0.15%到1.8%。傳統的胸腔切開術是治療胸 椎椎間盤突出症之標準手術方法,但是容易造成長期的術後傷口疼痛並且妨礙呼吸運動及術 後的復健。我們提出的病例報告如下:一位41歲的女性罹患第十一和第十二胸椎椎間盤突出 症併有脊髓受迫的現象。經使用影像輔助之胸腔鏡手術技術已經成功地切除脫垂的椎間盤。 手術過程中,沒有重要的器官或脊髓的受傷。術後,僅輕微的傷口疼痛且沒有發生所謂的肋 間神經痛。經2年門診的追蹤檢查,病患能自由行動並完全解除病痛。這種較少侵犯性的手 術方法對於本患者是安全而且有效的,是傳統的胸腔切開術的替代方法之一。 |
英文摘要 | Clinically, thoracic disc herniation occurs much less frequently than herniation in the cervical or lumbar regions, and accounts for only 0.15 to 1.8% of all intervertebral discs treated surgically. Classically, open thoracotomy is the standard procedure for thoracic disc herniation, but this type of surgery can cause prolonged postoperative wound pain that jeopardizes the mechanism of respiration and postoperative rehabilitation. We report the case of a 41-year-old woman with a symptomatic T�V-T�� thoracic disc herniation and cord compression. Video-assisted thoracoscopic surgery(VATS) was performed to remove the herniated disc successfully. Intraoperatively, there was no injury to vital organs or the spinal cord. The total operating time was 3.5 hours, and the estimated blood loss was 400 ml. Postoperatively, the incisional pain was minimal, and no intercostal neuralgia was noted. At her 2-year follow-up examination, she was fully ambulatory and free of pain. This type of minimally invasive procedure is a good alternative to the classic thoracotomy and proved to be a safe and effective procedure for this patient. |
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