前后路联合全椎体切除脊柱重建治疗胸腰段椎体肿瘤  

作　　者：陈鑫营 陈子华 

机构地区：[1]广东河源市人民医院骨外科,517000

出　　处：《中国社区医师（医学专业）》2010年第30期70-71,共2页

摘　　要：目的:观察前后路联合全椎体切除脊柱重建治疗胸腰段椎体肿瘤的疗效。方法:共纳入胸腰段椎体肿瘤患者23例,采用前后路联合全椎体切除脊柱重建方式,术中先取俯卧位应用后路椎弓根钉技术固定,然后改变体位采用侧前方入路,完整切除病椎,取髂骨或钛网植骨进行椎体重建。结果:术中无手术相关死亡病例及重要脏器损伤,均完成手术。神经功能及疼痛程度均有明显改善。结论:前后路联合全椎体切除脊柱重建手术视野开阔,术后疗效满意。Objective：To observe the clinical results of combined anterior and total corpectomy reconstruction of thoracolumbar spinal tumor.Methods：23 patients with thoracic and lumbar tumors for combined anterior and total corpectomy reconstruction,the nail pedicle fixed by the prone position in surgery,and then change the position with the front-side approach,complete resection of the vertebral,to take the flank bone or titanium mesh bone graft for vertebral reconstruction.Results：The whole people all complete the operation with no deaths and major organ damage.Nerve function and pain were significantly improved.Conclusion：Combined anterior and total corpectomy reconstruction of thoracolumbar spinal tumor has wide vision that Postoperative results were satisfactory.

关 键 词：胸腰段椎体肿瘤 全椎体切除 脊柱重建 

分 类 号：R529.2[医药卫生—内科学]