Application research on the ribs-reserved intercostal space approach for the middle and lower thoracic verte-brae surgery
Abstract：Objective To investigate the value of the ribs-reserved intercostal space approach in the middle and lower thoracic vertebrae surgery .Methods The operation via intercostal space without breaking the ribs were performed on 40 patients with the middle and lower thoracic vertebrae disease (group A), and compared with the con-trol group which contained 40 cases accepting the traditional lateral ribs-broken methods(group B).The difference between the two groups were compared in the operative incision length , vertical diameter of the surgical field , thora-cotomy time, thoracic operation time , time of closing thoracic incision , peri-operative bleeding volume , placement time of drainage tube, postoperative drainage, postoperative pain visual analogue scale (VAS), respiratory function before operation and at one week after operation as well as postoperative hospitalization duration .Results The results of group A were superior to the group B in incision length , thoracotomy time , time of closing thoracic incision , blood loss, placement time of drainage tube , postoperative drainage and postoperative hospitalization duration ( P<0.05 );VAS score of one month after the operation of group A was better than that of group B , the difference was statistically significant(P<0.05).However, there was no significant difference of 3 months after operation(P>0.05);preoper-ative lung function scores between the two groups showed no difference ( P>0.05 ) , but the lung function at one week after operation of group A was better than that of group B ( P<0.05 );The outcomes between the two groups showed no difference in the fields of surgical field longitudinal diameter and operating time ( P>0.05 ) .Conclusion The application of the ribs-reserved intercostal space approach for the treatment of thoracic vertebrae disease has the ad -vantage of being able to save time , exposing operative field fully , curbing the bleeding , making simple incision , cau-sing less postoperative pain , getting faster recovery , improving the quality of life , and is worth to be generalized .
Keywords：Ribs reservationIntercostal space approachThoracic vertebrae diseasesClinical re-search
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 809-813 )