关键词: 切口, 膈, 胸腰段

Abstract: The Clinical Application Of Retroperitoneal Lextrapleural Anterior Approach For Thoracolumbar Spine Via Diaphragam YongHang-Cai,Ying-Zhang,TingGuang-Luo,RongQing-Huang,ZhengYong-Luo,ZenHong-Li (1.The Department of orthopedics,the People's Hospital of YunXian,YunXian 675800,YunNan,china. 2. The Department of orthopedics,The 2nd Afflicated hospital of KunMing medical college, KunMing 650101,YunNan,China) Abstract: Objective To introduce the clinical application of retroperitoneal lextrapleural anterior approach for thoracolumbar spine via diaphragam in thoracolumbar spine disease treatment. Investigate the surgical techniques and the complications .Method 29 patiants with thoracolumbar spine disease were operated with retroperitoneal lextrapleural anterior approach for thoracolumbar spine via diaphragam with remove the 11 rib .The operating field was exposed well with less bleeding. Result The average time for surgical exposure was 30-60 minutes. No pneumothorax and chylothorax in this group. The average time of follow-up was 19 months. There was no complications such as plate abruption,nounion and kyphosis.Conclusion The incision is safe as long as familiar with the anatomy. This approach is suitable for thoracolumbar spinal lesions with less invasion and better exposure. Key word incision, diaphragam