开放椎体成形术联合后路减压内固定治疗侵袭性脊柱血管瘤  

Open vertebroplasty combined with posterior decompression and internal fixation in treatment of invasive spinal hemangioma

作　　者：曹云[1] 卿培东[1] 彭五四[1] 羊东[1] 

机构地区：[1]绵阳市骨科医院脊柱骨肿瘤科,四川绵阳621000

出　　处：《实用肿瘤杂志》2015年第5期474-476,共3页Journal of Practical Oncology

摘　　要：目的探讨开放椎体成形术联合后路减压内固定治疗侵袭性脊柱血管瘤的手术疗效和临床价值。方法9例有神经损害的侵袭性脊柱血管瘤患者,术前经X线、CT和（或）MRI检查,诊断明确,均行开放椎体成形术联合后路减压内固定治疗,其中6例患者仅行后路减压内固定术,3例行后路减压内固定横突间植骨融合术,比较患者术前、术后VAS疼痛评分、Frankel脊髓损伤分级评分。结果 9例患者术后VAS评分由术前平均7.5分降至术后平均2.3分,术后神经功能不同程度恢复,术中失血50～100 m L,手术时间50-100分钟。随访7-48月,平均21.3月,所有患者术后肿瘤未见复发、病变椎体高度未见丢失。结论开放椎体成形术联合后路减压内固定治疗侵袭性脊柱血管瘤效果良好。Objective To investigate the clinical value of open vertebroplasty combined with posterior decompression and internal fixation in treatment of invasive spinal hemangioma. Methods Clinical data of 9 patients with invasive spinal hemangioma were retrospectively reviewed. Diagnosis was made by preoperative X-ray, CT and/or MRI examination. All 9 patients underwent open vertebroplasty combined with posterior decompression and internal fixation, including 6 cases with only posterior decompression and internal fixation and 3 cases with posterior decompression and intertransverse fusion. VAS and Frankel scores were compared before and after operation. Results The average VAS score decreased from 7.5 before operation to 2.3 after operation, and the neurological function was recovered in various degrees after operation. The intraoperative bleeding was 50 - 100 mL, and operation time was 50 - 100 min. Patients were followed up for 7 -48 months with an average of 21.3 months. None of the patients had tumor recurrence or loss of vertebral height. Conclusion Open vertebroplasty combined with posterior decompression and internal fixation in treatment of invasive spinal hemangioma is effective and safe.

关 键 词：血管瘤/外科学 脊椎肿瘤/外科学 椎体成形术 减压术 外科 回顾性研究 

分 类 号：R687.3[医药卫生—骨科学]