椎管内脊膜瘤的临床特点及手术治疗  

Clinical Characteristics and Operative Treatment of Meningioma in Spinal Canal

作　　者：沈宁江[1] 陈建[1] 林庆彪[1] 王书成[1] 

机构地区：[1]海南省人民医院骨病外科,570311

出　　处：《实用骨科杂志》1999年第4期193-194,共2页Journal of Practical Orthopaedics

摘　　要：本文报告椎管内脊膜瘤２２ 例，其中男３ 例，女１９ 例，年龄１８～７３ 岁，平均５１ 岁。术后随访１８ 例，随访时间平均３．５ 年，优良率９４．４％ 。分析总结了本病的临床特点，为早期诊断提供依据。提出了应根据脊膜瘤所在部位采取不同的术式，颈椎行“单开门术”暴露椎管，胸椎用电磨行全椎板切除，腰椎则行保留棘上韧带、棘间韧带和棘突的次全椎板切除，能充分暴露椎管，手术安全可靠，最大限度地保留脊柱的稳定性，有效地防止术后瘢痕粘连压迫脊髓。Twenty-two cases with meningioma in spinal canal were reported.Among them,there were 3 male and 19 female.Their ages ranged from 18 to 73 years and on average 51 years.Eighteen of the 22 patients had been followed up after the operation for 3.5 years on average.The excellent and good rate was 94.4%.The clinical characteristics of meningioma in spinal canal were analysed and summarized,so that they could provide scientific basis for early diagnosis.According to the position of the meningioma,the different operative methods were used.The “single open-door operation”method was used in the cervical canal,whole laminectomy was performed with electrical grind in the thoracic vertebral canal,and subtotal laminectomy was done in lumbar vertebral canal with preservation of the supraspinal ligament,interspinal ligament and spinous process.These operative methods are safe and can expose the vertebral canal abundantly.The spinal stability is protected fully and the cicatricial adhesion is prevented effectively.

关 键 词：椎管内脊膜瘤 临床特点 暴露 保留 手术治疗 胸椎 棘突 单开门 棘间韧带 全椎板切除 

分 类 号：R681[医药卫生—骨科学] R739[医药卫生—外科学]