摘要
目的探讨半椎板入路在切除椎管内肿瘤的应用。方法回顾分析我科2009-2015年20例经半椎板手术入路切除椎管内肿瘤的临床资料。其中脊膜瘤10例,神经鞘瘤8例,室管膜瘤2例。肿瘤位于颈段2例,胸段17例,胸腰段均累及1例。结果所有病例手术均完全切除肿瘤,其中1例颈段肿瘤术后出现脑脊液漏,经缝合漏口加压包扎后愈合。患者均术后2周下床活动。手术后随访（2-24个月）,患者症状及体征明显改善,无术后功能障碍加重,无远期并发症及脊柱畸形。结论经单侧半椎板入路切除椎管内肿瘤可最大程度保护脊柱后肌肉、韧带及骨性结构,有利于保护脊柱稳定性,具有手术创伤小,术后恢复快,卧床时间短,减少并发症等优点。
Objective To evaluate the unilateral hemilaminectomy approach for the spinal cord tumors. Methods 20 patients with spinal coad tumors were operated by microsurgical treatment through the unilateral hemilaminectomy approach at our hospital,including 10 meningiomas, 8 schwannomas, 2astrocytomas.In which 2 were cervical, 17 were throcic and 1 throcic-lumbar. Results All the tumors were totally excised. The patients who were opratated can move after 2weeks.The symptoms and signs were obviously improved without complication of surgery and spinal abnormality. Conclusions The suegery through unilateral hemilaminectomy which can hold the muscle,ligament and bone structure of post-spine at most, profits the stability of spine and has other merits, including slight sugery trauma and safety, also short time of bed rest.
出处
《疾病监测与控制》
2016年第12期1003-1004,共2页
Journal of Diseases Monitor and Control
关键词
椎管内
肿瘤
半椎板
spinal cord
tumors
unilateral hemilaminectomy
