颈椎后路手术治疗原发性椎管内肿瘤临床分析  

Clinical Analysis of Cervical Posterior Approach Surgery in the Treatment for Primary Intraspinal Tumor

作　　者：方镇[1] 王开明[1] 廖亮[1] 杨德顺[1] 秦骥[1] 戴永立[1] 李进悦[1] 方贵明[1] 

机构地区：[1]蚌埠市第三人民医院,安徽蚌埠233000

出　　处：《肿瘤学杂志》2011年第8期589-591,共3页Journal of Chinese Oncology

摘　　要：[目的]探讨颈椎后路手术治疗原发性椎管内肿瘤的可行性。[方法]回顾性分析采取颈椎后路手术治疗11例颈椎管内肿瘤患者(颈椎管内神经鞘瘤6例,神经纤维瘤4例,脊膜瘤1例)的临床资料,5例患者在切除肿瘤后行颈椎稳定性重建。采用JOA评分评价颈椎功能改善情况。[结果]11例患者肿瘤于肉眼下完全切除,所有病例随访5个月～3年,JOA评分改善率52.9%±14.0%。未发现复发病例。[结论]原发性颈椎管内肿瘤可行后路手术切除。[Purpose] To investigate the feasibility of posterior approach surgery for primary cervical intraspinal tumor.[Method] The clinical data of 11 cases（6 cases with neurilemoma,4 cases with neurofibroma and 1 case with meningioma） with primary intraspinal tumor were retrospectively analyzed.Five cases underwent cervical stabilization reconstruction after resection of tumor.[Result] Tumor was completely resected by posterior approach surgery in all the 11 patients,and the followed-up period ranged from 5 months to 3 years.The improved rate of JOA score was 52.9%±14.0%.No recurrent case was not found.[Conclusion] Posterior approach surgery for patients with primary cervical intraspinal tumor is feasible.

关 键 词：原发性椎管内肿瘤 颈椎后路手术 

分 类 号：R739.91[医药卫生—肿瘤]