椎管内肿瘤行半椎板切除术的可行性研究

Feasibility study of half laminectomy in the treatment of intraspinal tumors patients

目的研究椎管内肿瘤患者行半椎板切除术的可行性。方法回顾性分析2012年5月至2013年2月收治的50例椎管内肿瘤患者的临床资料。结果试验组(半椎板切除)患者的手术时间低于对照组(全椎板切除),术中出血量少于对照组,差异均有统计学意义(均P<0.01)。试验组患者的住院时间比对照组短,术后脊柱稳定性良好的发生率高于对照组高,术后并发症的发生率低于对照组,差异均有统计学意义(均P<0.05)。结论椎管内肿瘤患者行半椎板切除术安全可行,值得推广。

Objective To study the feasibility of half laminectomy in the treatment of intraspinal tumors. Methods The clinical data of 50 cases with intraspinal tumors who had been treated in our hospi- tal from May 2012 to February 2013 were retrospectively analyzed. Results The operative time of the observation group was significantly shorter than that of the control group （ P 〈 0. 01 ） and the blood loss was significantly less than that of the control group （ P 〈 0. 01 ）. The hospitalization periods of the observation group was significantly shorter than that of control group （ P 〈 0. 05 ）, the incidence of well postoperative spine stability of the obervation group was significantly higher than that of control group （ P 〈 0. 05 ）, and the incidence of postoperative complications was significantly lower than that of the control group （P 〈 0. 05 ）. Conclusion Half laminectomy is safe and feasible in the treatment of intraspinal tumors, thus it is worthy of wide application.