脊柱骨软骨瘤3例报告附中国文献复习

Spinal Osteochondromas Report of 3 Cases and Review of Literature in China

脊柱骨软骨瘤较少见，１９６９年来我院共收治３例，其中１例为骨软骨瘤病。病变部位：Ｃ４、Ｃ５及Ｔ１２各１例４个病变，压迫脊髓的３个病变均起源于椎板。经手术治疗，两例有脊髓压迫症状者完全恢复，１例瘫痪者随访两年无改善。复习中国所报告的脊柱骨软骨瘤共计３２例３４个病变，平均病程１４个月，年龄３４５岁，男女比为２∶１。脊柱各阶段均有病变报道，以颈胸椎为多，按平均每个椎体发生病变的机会则依次为颈、腰、胸、骶椎。脊椎各部均可发生病变，以椎板、椎体及关节突为多。治疗均采用手术切除。影响预后的主要因素是术前神经功能已受损情况及肿瘤的位置。

Spinal osteochondromas are rare in orthopedic surgery.3 cases have been treated in our clinic since 1969 with one cases of multiple osteochondromas.The 3 lesions arising from the lamina caused compression on the spinal cord,the location of the lesions is on C 4,C 5 and T 12 respectively.After tumor resection,two patients with spinal cord compression were free of symptoms and the patient with paraplegia had no improvement.The literature of osteochondromas reported in China was reviewed,totally there were 32 cases including the present 3 cases.The mean age of the patients was 34 5 years;the ratio of male to female was 2∶1.The cervical,thoracic,lumbar and sacral spine can be affected with the predilection in cervical and thoracic.Any part of the vertebra may be affected,predominantly the lamina,the vertebral body and the joint facet.All the patients reported in China underwent surgical excision,the compromised function status of nervures system and the location of the lesion are the two main factors affecting the outcome.