椎体肿瘤脊柱后凸的后路手术治疗  

Posterior operation in treating vertebral tumors complicated with kyphosis

作　　者：王石磊[1] 王加利[1] 田庆显[2] 

机构地区：[1]山东省莱芜市人民医院骨三科,山东莱芜271100 [2]首都医科大学附属北京朝阳医院骨科,北京100043

出　　处：《临床军医杂志》2013年第4期371-372,378,共3页Clinical Journal of Medical Officers

基　　金：国家自然科学基金(81071515)

摘　　要：目的观察后路手术治疗椎体肿瘤合并脊柱后凸的临床疗效。方法选择椎体肿瘤合并脊柱后凸患者作为研究对象,分为后路肿瘤切除+钉棒固定椎间融合器植骨融合术组(观察组)和后外侧入路肿瘤切除术+钉棒固定椎间融合器植骨融合术组(对照组),观察手术相关指标、椎体功能、融合情况以及生活质量。结果观察组手术时间、术中出血量、术后引流量、术后卧床时间、Cobb角均明显少于对照组;治疗后椎间隙高度、椎体融合率、生活质量优良率明显高于对照组。结论后路手术创伤较小、预后好,对于椎体肿瘤合并脊柱后凸的患者治疗效果较好。Objective To observe the effect of posterior operation in treating vertebral tumors complicated with kyphosis. Methods Patients with vertebral tumors complicated with kyphosis were collected and randomly divided into trial group treated with posterior lumbar interbody fusion （PLIF） and control group with posterolateral fusion （PLF）. Then operation related indexes, vertebral function, fusion and quality of life were observed. Results Operation time, bleeding volume, postoperative drainage volume, bed rest duration and Cobb angles were significantly ＇less in the trial group than in the control group; the height of intervertebral space, the vertebral fusion rate and the life quality of the trial group were significantly higher than that of the control group. Conclusion Posterior operation has positive therapeutic significance for its less trauma and good prognosis.

关 键 词：椎体肿瘤 脊柱后凸 后路手术 椎体融合 

分 类 号：R783.1[医药卫生—口腔医学]