椎管哑铃形肿瘤的手术治疗与脊柱重建  

Operative resection of the dumbbell tumors and reconstruction of the spine

作　　者：吴洪喜[1] 高广兴[2] 滕良珠[1] 杨伟[1] 庞琦[1] 

机构地区：[1]山东大学山东省立医院神经外科,250021 [2]胜利油田临盘医院

出　　处：《中华神经外科杂志》2008年第2期120-122,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨脊柱哑铃形肿瘤的手术治疗方案。方法回顾分析28例脊柱哑铃形肿瘤的手术方案，随访观察治疗效果。结果单独经后正中入路24例椎板切除术切除肿块者复发4例，3例存在颈痛及颈椎不稳表现；经联合入路手术者4例无复发及脊柱不稳定现象。结论对肿瘤超出椎体范围，或越过椎体中线者考虑联合入路手术。联合入路具有切除肿瘤完全，对脊柱破坏少的优点；对于关节突破坏严重患者宜采取内固定加植骨手术。Objective To discuss the surgical procedure of the dumbbell tumors of the spine. Method To discribe the resection procedure of the 28 cases of dumbbell tumors, follow up the clinical results. Result Tumor resection by transmedian laminectomy has a high incidence of recurrence （4/24） with manifestations of instability（3/24） ; there was no clinical recurrence by method of median and lateral combined approach, and no spine instability. We adopt internal fixation in the same procedure when with the rare instable cases. Condusion Transmedian and lateral combined approach to dumbbell tumors resection is recommended when the tumor go beyond half of the vertebral body ; combined approach method has the priority of total tumor resection and less destruction to the vertebral body ; and the internal fixation make the rare cases also reliable.

关 键 词：脊柱 肿瘤 外科手术 

分 类 号：R738[医药卫生—肿瘤]