椎管内髓外良性肿瘤的显微外科手术治疗

Microsurgical treatment of intraspinal extramedullary benign tumors

目的探讨一次性全椎板减压椎管成形并显微外科肿瘤切除术治疗椎管内髓外良性肿瘤的临床疗效。方法手术治疗成人椎管内髓外良性肿瘤共64例，71个，均行一次性全椎板减压椎管成形并显微外科肿瘤切除术，术后随访观察临床疗效。结果小肿瘤及大肿瘤患者术后神经功能恢复较快，近期及远期疗效均优于术前，且远期疗效优于近期疗效；巨大肿瘤患者术后神经功能恢复较慢，近期疗效并不优于术前，但远期疗效优于术前。结论一次性全椎板减压椎管成形并显微外科肿瘤切除术是治疗椎管内髓外良性肿瘤的良好方法．尤其适用于大肿瘤和巨大肿瘤的手术治疗。

Objective To explore the clinical efficacy of using the disposable whole laminectomy, laminoplasty and microsurgical tumor removal to treat intraspinal extramedullary benign tumors. Methods Sixty-four patients, 71 cases adult intraspinal extramedullary benign tumors were removed by the disposable whole laminectomy, laminoplasty and microsurgical tumor removal operation, all postoperative patients were followed up to observe the clinical efficacy. Results Patients with small tumors and large tumors all had a faster recovery of neurological function than preoperative, recent and long-term efficacy were all better than preoperative, and long-term efficacy was superior to short-term efficacy; Patients with giant tumors had a slower recovery of neurological function than preoperative, short-term efficacy was not better than preoperative, but the long-term efficacy was superior to preoperative. Conclusion The disposable whole laminectomy, laminoplasty and microsurgical tumor removal is an excellent method of treating intraspinal extramedullary benign tumors.