经后路一期手术切除腰椎管哑铃型肿瘤25例分析  

Analysis on Posterior One-Stage Resection for 25 Cases Intra- and Extra-Dumbbell-Shaped Tumor of the Lumbar Spine

作　　者：熊健[1] 许永涛[1] 佘远举[1] 

机构地区：[1]荆州中心医院骨科,荆州434020

出　　处：《中国医药导刊》2014年第3期531-532,共2页Chinese Journal of Medicinal Guide

摘　　要：目的：探讨研究经后路一期手术切除腰椎管哑铃型肿瘤的术式及临床疗效。方法：选择我院2010年8月至2012年7月收治25例行经后路一期手术治疗的腰椎管哑铃型肿瘤患者的临床资料进行回顾性分析,总结其临床诊治方法及手术治疗效果。结果：所有患者肿瘤完全切除,均经手术证实确诊为腰椎管哑铃型肿瘤,其中神经鞘瘤20例,5例神经纤维瘤。手术时间1.5-4.5h,出血量80-350ml,无严重手术并发症的发生。所有患者获得随访,随访时间为1-2年,行MRI复查,腰椎恢复良好,无肿瘤复发病例,基本都能生活自理。结论：经后路一期手术切除是安全性高、疗效好的治疗方法。Objective：To study the surgical method and clinical efficacy of posterior one-stage resection for intra- and extra-dumbbell-shaped tumor of the lumbar spine. Methods：Selected 25 cases intra-and extra-dumbbell-shaped tumor of the lumbar spine given the trearment with posterior one-stage resection surgery, the clinical data were analyzed retrospectively. Summarized the clinical diagnosis and treatment methods, and evaluate the clinical efficacy. Results：The tumors were resected totally in 25 patients, all patients were Confirmed and diagnosed as lumbar dumbbell tumors, 20 of them were Schwannoma, 5 of them were neurofibroma. Operation time was from 1.5 h to 4.5 h, the amount of bleeding was 80-350 ml, without severe surgical complications. All patients were followed up from 1 to 2 years, MRI showed that lumbar recovered well, no tumor recurrence cases, they can live on their own basicly. Conclusion：Posterior one-stage resection is highly safe with good curative effect.

关 键 词：腰椎管哑铃型肿瘤 后路一期手术 手术方法 

分 类 号：R739.4[医药卫生—肿瘤]