半椎板入路显微手术切除髓外硬膜下肿瘤的疗效分析

Clinical effect of microsurgical resection of subdural extramedullary tumors via hemilaminectomy

目的探讨半椎板入路显微手术切除髓外硬膜下肿瘤的手术策略及临床疗效。方法回顾性分析我院2014年1月至2018年12月收治的经半椎板入路显微手术治疗的45例髓外硬膜下肿瘤患者的临床资料。结果所有患者均采用半椎板入路显微外科技术,患者的神经功能障碍均得到改善,无严重并发症出现。随访6月~5年,均恢复良好,无复发病例。结论半椎板入路显微手术切除髓外硬膜下肿瘤疗效满意,具有手术创伤小,脊柱稳定性好,并发症少等特点。

Objective To investigate the strategies and clinical effect of microsurgical resection of subdural extramedullary tumors via hemilaminectomy.Methods A retrospective analysis was performed for the clinical data of 45 patients with subdural extramedullary tumors who underwent microsurgical treatment via hemilaminectomy in our hospital from January 2014 to December 2018.Results All patients underwent microsurgical resection of subdural extramedullary tumors via hemilaminectomy and had a significant improvement in nerve dysfunction,and no serious complications were observed.The patients were followed up for 6 months to 5 years and achieved good recovery,and no recurrence was observed.Conclusions Microsurgical resection of subdural extramedullary tumors via hemilaminectomy has a marked clinical effect,with the advantages of minimal invasion,good spinal stability,and few complications.