后路全椎板切除术和半椎板切除术治疗椎管内神经鞘瘤的效果及预后

Effect and Prognosis of Posterior Laminectomy and Semi-laminectomy Treatment in Spinal Nerve Sheath Tumors

目的:探讨后路全椎板切除术和半椎板切除术治疗椎管内神经鞘瘤的临床效果。方法:选择笔者所在医院2011年1月-2015年1月收治的35例椎管内神经鞘瘤患者为研究对象并随机分为两组,试验组患者应用半椎板切除术治疗,对照组患者实施后路全椎板切除术治疗,观察比较两组患者手术指标、临床症状改善、肿瘤完全切除及并发症发生情况。结果:试验组患者各手术指标均优于对照组,临床症状总改善率高于对照组,总并发症发生率低于对照组,差异均有统计学意义(P<0.05);两组肿瘤完全切除率比较差异无统计学意义(P>0.05)。结论:针对椎管内神经鞘瘤患者采用半锥板切除术可缩短治疗时间,减少术中出血量,改善临床症状,安全性高。

Objective： To investigate the clinical effect of posterior laminectomy and semi-laminectomy treatment in spinal nerve sheath tumors. Method： 35 cases of spinal nerve sheath tumor patients in our hospital from January 2011 to January 2015 were selected as the research objects and randomly divided into two groups.The experimental group was given semi-laminectomy treatment, the control group was treated with posterior posterior laminectomy.The operation indicators, the situation of the improvement of clinical symptoms, tumor resection and the incidence of complications were observed and compared between the two groups.Result： The operation indicators, the improvement rate of clinical symptoms and the incidence rate of complications of the experimental group were better than those of the control group, the differences were statistically significant（P〈0.05）.The difference in the tumor resection rate between the two groups was not statistically significant（P〉0.05）.Conclusion： Semi-laminectomy for patients with spinal nerve sheath tumors can shorten treatment time, reduce blood loss and improve clinical symptoms, it has high security.