合并椎体破坏的颈椎管哑铃形肿瘤的手术治疗  

Surgical treatment of dumbbell tumor complicating with vertebral destruction in cervical spine

作　　者：刘庆鹏[1] 姚猛[1] 孙崇毅[1] 周昌伟[1] 

机构地区：[1]哈尔滨医科大学第二临床医学院脊柱外科,150086

出　　处：《中华医学杂志》2012年第43期3072-3075,共4页National Medical Journal of China

摘　　要：目的探讨经颈前人路手术治疗侵犯椎体及其附件的颈椎椎管内哑铃形肿瘤的可行性及其疗效。方法2004年5月至2009年2月，采用颈前方人路治疗此类巨大颈椎管哑铃形肿瘤7例，分析其临床特点、影像学特征、手术及植骨内固定的方法与治疗结果等。结果经6—46个月随访，7例患者肿瘤完全切除，随访期间肿瘤无复发，术后症状明显改善，植骨均愈合良好，无钛板松动及颈椎不稳情况发生。结论合并椎体及横突破坏的巨大颈椎管哑铃形肿瘤，经前路手术可在一期完全切除肿瘤的同时恢复脊柱的稳定性，是治疗此种疾患的较佳选择。Objective To explore the feasibility and efficacy of operating through an anterior approach in the treatment of dumbbell tumor complicating with vertebral destruction in cervical spine. Methods Surgical procedures were performed through an anterior approach in 7 cases of dumbbell tumor complicating with vertebral and transverse process destruction during the period of May 2004 to February 2009. Bone graft and internal fixation were implemented after tumor removal. Results In all 7 cases, tumors were reseeted completely and no recurrence occurred during a follow-up period of 6 - 46 months. The symptoms improved greatly postoperatively with fine fusion of graft bone. There was neither loose plate nor cervical instability. Conclusion For huge dumbbell tumor with damaged vertebral body and transverse process in cervical spine, the anterior approach operation will remove tumor entirely and restore the stability of cervical spine so as to prevent spinal cord injury. It is an excellent option of treating dumbbell tumor in cervical spine.

关 键 词：颈椎 肿瘤 骨组织 移植 自体 

分 类 号：R738.1[医药卫生—肿瘤]