[1]袁腾飞,孟肖利,刘绍严,等.半椎板入路切除椎管内外哑铃型肿瘤[J].临床神经外科杂志,2019,16(5):434-438.[doi:10.3969/j.issn.1672-7770.2019.05.014]
 YUAN Teng-fei,MENG Xiao-li,LIU Shao-yan,et al.Hemilaminectomy Approach for Spinal Dumbbell-shaped Tumor Resection[J].Journal of Clinical Neurosurgery,2019,16(5):434-438.[doi:10.3969/j.issn.1672-7770.2019.05.014]
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半椎板入路切除椎管内外哑铃型肿瘤()
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《临床神经外科杂志》[ISSN:1672-7770/CN:32-1727/R]

卷:
16
期数:
2019年第5期
页码:
434-438
栏目:
论著
出版日期:
2019-10-15

文章信息/Info

Title:
Hemilaminectomy Approach for Spinal Dumbbell-shaped Tumor Resection
作者:
袁腾飞孟肖利刘绍严李鉴赵兵万经海
230601 合肥,安徽医科大学第二附属医院神经外科(袁腾飞,赵兵,万经海);中国医学科学院肿瘤医院神经外科(孟肖利,万经海),头颈外科(刘绍严),胸外科(李鉴)
Author(s):
YUAN Teng-fei MENG Xiao-li LIU Shao-yan et al.
Department of Neurosurgery, The Second Hospital of Anhui Medical University, Hefei 230601, China
关键词:
半椎板入路椎管哑铃型肿瘤脊柱稳定性
Keywords:
hemilaminectomy spinal canal spinal dumbbell-shaped tumors spine stability
分类号:
R739.42
DOI:
10.3969/j.issn.1672-7770.2019.05.014
文献标志码:
A
摘要:
【摘要】目的 探讨经半椎板入路切除椎管内外哑铃型肿瘤的手术技巧。方法回顾性分析2013年3月—2018年5月于中国医学科学院肿瘤医院神经外科治疗的26例椎管内外哑铃型肿瘤患者的临床资料。结果26例均采用了半椎板入路切除肿瘤,其中经后正中入路13例,经前侧方入路12例,前后联合入路分期手术1例;肿瘤全切除25例,次全切除1例。术后随访4~60个月,患者症状均明显缓解,无明显脊柱畸形发生。结论大多数椎管内外哑铃型肿瘤能够经半椎板入路一期手术切除;与传统的全椎板手术方式相比,半椎板入路创伤较小,几乎不影响脊柱的稳定性。
Abstract:
Abstract: ObjectiveTo investigate the surgical technique of the hemilaminectomy for theresection of spinal dumbbell-shaped tumors. MethodsThe clinical data of 26 adult patients with spinal dumbbell-shaped tumor surgically treated in Department of Neurosurgery, Cancer Hospital Chinese Academy of Medical Sciences from March 2013 to May 2018 were analyzed retrospectively. ResultsHemilaminectomy was used in all patients to resect the tumor,including posterior median hemilaminectomy approach in 13 patients, anterior lateral hemilaminectomy approach in 12 and combined anterior and posterior approach in 1. Gross total resection was achieved in all but 1 patient in this group. The postoperative follow-up for 4 to 60 months showed neurological symptoms were significantly relieved without obviously spine instability. ConclusionsMost spinal dumbbell-shaped tumors could be resected through a hemilaminectomy approach in single stage. Compared with traditional laminectomy, hemilaminectomy has less trauma and little impact on the spine stability.

相似文献/References:

[1]乔梁,王汉东,成惠林,等.椎管内海绵状血管畸形的治疗策略选择[J].临床神经外科杂志,2017,14(04):268.
 QIAO Liang,WANG Han-dong,CHENG Hui-lin,et al.Treatmentstrategies for spinal cavernous malformations[J].Journal of Clinical Neurosurgery,2017,14(5):268.

更新日期/Last Update: 2019-10-15