椎管内肿瘤手术对脊柱稳定性的影响  

The effects of spinal stability in intraspinal tumors resection

作　　者：罗霜[1] 李进[1] 杨开勇[1] 鞠延[1] 黄思庆 

机构地区：[1]四川大学华西医院神经外科,成都610041

出　　处：《中华神经外科杂志》2008年第12期913-915,共3页Chinese Journal of Neurosurgery

摘　　要：目的探讨椎管内肿瘤切除对脊柱稳定性的影响。方法回顾性分析经手术病理证实的椎管内肿瘤208例的临床资料。其中179例在行肿瘤切除的同时，进行脊柱结构和功能的保护与重建。其中半椎板手术141例，卷帘门式手术26例，脊柱内固定手术12例。全椎板切除手术29例。结果肿瘤全切除185例（88．9％），次全切除11例（5．3％），部分切除12例（5．8％）。所有病例术后症状均明显改善，随访6-12个月，179例进行脊柱结构和功能保护与重建的患者，均未出现手术并发症和脊柱不稳定。结论椎管内肿瘤以良性为多，手术切除效果好。根据不同的情况采用不同的手术方式，对脊柱的稳定性进行保护与重建，对脊柱远期功能的维持是必要的。Objective To study the effects of spinal stability in intraspinal tumors resection. Methods 208 patients with intraspinal tumors confirmed by pathological examination were reviewed. 179 cases were performed spinal protection and reconstruction, including 141 cases of unilateral hemilaminectomy, 26 cases of roll-screen-door procedures, 12 cases of internal fixtion. Total laminectomy was performed in 29 cases. Results The tumors were removed completely in 185 cases （88. 9% ）, subtotally removed in 11 cases（5.3% ）, partially removed in 12 cases（5.8% ）. In all cases, the symptoms were obviously improved after operation. During follow-up period （6-12 months）, there was no complication and spinal instability in 179 cases with spinal protection and reconstruction. Conclusions Most intraspinal tumors are benign, so the outcomes of surgical removal are good. Trying different procedures in protection and reconstruction of spinal stability according to different conditions is necessary for long-term maintenance of spinal function.

关 键 词：椎管内肿瘤 脊柱 稳定性 

分 类 号：R686[医药卫生—骨科学]