椎管内髓外硬膜下肿瘤的显微手术治疗  

The microsurgery on spinal intradural extramedullary tumor

作　　者：宗少晖[1] 高太行[2] 李兵[3] 张冉[4] 李书振[5] 杨渊 杨昆 

机构地区：[1]广西医科大学第一附属医院脊柱骨病外科,南宁市530021 [2]广西医科大学研究生学院2011级,南宁市530021 [3]广西柳州市工人医院骨科,545005 [4]广西柳州市人民医院骨科,545006 [5]广西中医药大学附属瑞康医院骨科,南宁市530021 [6]广西骨伤医院骨科,南宁市530021

出　　处：《实用医学杂志》2013年第19期3163-3166,共4页The Journal of Practical Medicine

基　　金：广西科学研究与技术开发计划课题(编号:桂科攻1298003-5-1)

摘　　要：目的:探讨椎管内髓外硬膜下肿瘤的显微手术治疗。方法 :回顾性分析2010年1月至2012年6月进行显微手术治疗的53例椎管内髓外硬膜下肿瘤和同期行非显微手术治疗的69例患者的临床资料,比较两组患者的近期、远期临床疗效和生活质量评价。结果:显微手术组术中出血量少(P<0.01),住院时间短(P=0.02<0.05),术后并发症少(P=0.04<0.05),近期临床疗效优于非显微组(P=0.037<0.05)。2组远期临床疗效和生活质量评价未表现出统计学差异。结论:显微手术治疗椎管内髓外硬膜下肿瘤术中出血量及术后并发症少,住院时间短,近期疗效优于非显微组。Objective To investigate the treatment effect of microsurgery on spinal intradural extramedullary tumor. Method The clinical data of 112 patients from January 2010 to June 2012 with spinal intradural extramedullary tumor were retrospectively analyzed. The patients were divided into microsurgery group （53 cases） and non-microsurgery group （69 cases）. The recent clinical efficacy, the long-term clinical efficacy, and the quality of life assessment of the two groups were compared. Results Intraoperative blood loss was less （P 〈 0.01）, hospitalization time was shorter （P 〈 0.05）, postoperative complications were fewer （P 〈 0.05） and short-term clinical efficacy was superior in the microsurgery group, compared to non-microsurgery group. But the long-term clinical efficacy and quality of life assessment showed no statistically significant difference. Conclusion Microsurgical treatment performanced less intraoperative blood loss, less postoperative complications, shorter hospitalization time, and more superior short-term clinical efficacy than non-microsurgical treatment in spinal intradural extramedullary tumor.

关 键 词：髓外硬膜下肿瘤 显微手术 临床疗效 

分 类 号：R739.4[医药卫生—肿瘤]