目的：探讨胸椎黄韧带骨化症的诊断及外科治疗方法。方法：回顾性分析手术治疗的胸椎黄韧带骨化症44例患者的临床资料，手术均采用椎管后壁切除术。结果：随访6～36个月，平均18个月。J O A评分术前平均4．3分，提高为术后平均9．5分，功能恢复率为77．3％。44例患者疗效优27例、良11例、可6例，优良率达86．5％。结论：临床表现结合影像学检查是诊断胸椎黄韧带骨化症的重要手段，采用“层薄揭盖法”进行椎管后壁切除术较为安全、可靠，手术疗效满意。%Objective:Study the diagnosis and surgical treatment of ossification of the ligamentum flavum (OLF) in the thoracic spine .Methods:Clinical data of 44 patients (29 male and 15 female ,age 34~67 years) who underwent removal of posterior wall of spinal canal were analyzed retrospectively .Results :The follow-up time was 6~36 months ,averaged 18 months .JOA scores were improved from 4 .3 to 9 .5 ,and the functional recovery rate was 77 .3% .The therapeutic efficacy was excellent in 27 cases ,better in 11 and moderate in 6 ,and the excellent and good rate was 86 .5% .Conclusion:Clinical manifestations combined with imaging examination are important in the diagnosis of OLF in the thoracic spine ,and in the surgical treatment “laminar shelling decompression” is a safe method to remove the posterior wall of spinal canal .
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机译：Surgical Outcomes of Thoracic Myelopathy Secondary to Ossification of Ligamentum Flavum in a Regional Hospital: A Primitive Report and Literature Review 在一所地区医院用手术治疗由黄韧带骨化引起的胸椎脊髓病的效果 - 报告及文献回顾
