脊椎肿瘤整块切除的外科分型与手术策略

The surgical classification and surgical strategy for en bloc resection of spine tumor

脊椎肿瘤整块切除是脊椎原发恶性肿瘤、原发侵袭性肿瘤与孤立性转移瘤的重要治疗方式,可达到良好的局部控制,同时改善患者生存预后。然而,囿于脊椎复杂的解剖结构及其周围存在众多重要的组织器官,脊椎肿瘤整块切除手术过程复杂、风险高,是脊椎肿瘤外科治疗的难点与研究热点。通过良好的外科分型与手术策略选择,有经验的脊椎肿瘤外科治疗团队可在脊椎肿瘤整块切除过程中,在取得良好的肿瘤切除边界、达到手术效果的同时降低手术风险。当然,如何对脊椎肿瘤整块切除进行外科分型与手术策略规划需结合临床经验进行进一步总结、研究。

En bloc resection of spine tumor is the essential treatment method for primary malignant spine tumor,primary aggressive spine tumor and solitary spine metastasis.It can achieve good local control and improve the prognosis.However,given the complex anatomic structure and major adjacent tissue and organ of the spine,en bloc resection of spine tumor remains the research hotspot in surgical treatment of spine tumor.On the basis of adequate surgical classification and surgical strategy,experienced surgical team for spine tumor can achieve good surgical margin while decreasing the morbidity of the en bloc resection of spine tumor.However,the details of surgical classification and surgical strategy require further study.