摘要
传统前路开胸手术治疗特发性胸椎侧弯存在手术创伤大、术后疼痛严重、对术后肺功能影响大等缺点。电视胸腔镜手术在脊柱外科的应用使特发性胸椎侧弯的矫正有了微创手术的可能,常用的术式包括胸腔镜辅助下前路脊柱松解椎间植骨融合术和胸腔镜下胸椎侧凸前路矫形融合内固定术。本文就胸腔镜手术治疗特发性胸椎侧弯的发展历史,优缺点,不同手术方案的疗效和并发症等进行文献综述。
Traditional anterior thoracotomy surgery for thoracic idiopathic scoliosis has amount of disadvantages such as large trauma,postoperative pain,and pulmonary function decrease. Video-assisted thoracoscopic surgery( VATS),which is considered as an effective method for the treatment of idiopathic thoracic scoliosis,can avoid those disadvantages as compared with thoracotomy surgery. Common surgical procedures include anterior spinal release with intervertebral fusion and instrumentation through videoassisted thoracoscopic surgery( IVATS). This article reviewed the history,indications,contraindications,advantages,disadvantages and outcomes of VATS in the treatment of idiopathic thoracic scoliosis.
出处
《中国微创外科杂志》
CSCD
北大核心
2016年第5期459-462,共4页
Chinese Journal of Minimally Invasive Surgery
关键词
电视辅助胸腔镜手术
特发性胸椎侧弯
脊柱融合
脊柱内固定
Video-assisted thoracoscopic surgery
Thoracic idiopathic scoliosis
Spinal fusion
Spinal instrumentation
作者简介
通讯作者,E-mail:liuxgbjmu@163.com