后方韧带复合体回植重建椎管内肿瘤切除术后脊柱稳定性  

Regrafting the posterior ligamentous complex to reconstruct the spinal stability after spinal canal tumor resection

作　　者：殷翔[1] 朱军[1] 王颖博[1] 刘佰易 靳羽飞 刘鹏[1] 赵建华[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所脊柱外科,重庆400042

出　　处：《局解手术学杂志》2015年第5期537-539,共3页Journal of Regional Anatomy and Operative Surgery

基　　金：国家自然科学基金(81401016)

摘　　要：目的观察后方韧带复合体回植重建椎管内肿瘤切除术后的脊柱稳定性。方法回顾性分析总结我科2008年7月至2013年7月43例确诊为椎管内肿瘤患者的临床资料,43例患者均采用微型钛板对游离的椎板进行固定。观察患者术后有无并发症,术后6个月X线、CT影像学复查截骨断面是否愈合、椎管宽度是否良好。结果手术时间130~220 min,平均150 min。失血量200~750 m L,平均340 m L。术后随访6~42个月,所有病例术后未出现医源性脊髓损伤,未出现动脉损伤、脊髓损伤、脊神经根局部异常积液等并发症,术后动力位片显示棘突椎板回植术后脊柱活动度基本得以保留。结论微型钛板固定通过回植后方韧带复合体可恢复脊柱的稳定性,在治疗椎管内肿瘤方面具有良好的优越性和临床可行性。Objective To observe the spinal stability of regrafting the posterior ligamentous complex after spinal canal tumor resection.Methods The data of 43 cases with spinal canal tumor in our department from July 2008 to July 2013 were retrospectively analyzed,who were fixed the free of the lamina by mini titanium-plate. Results The operation time was 130 to 220 min,the average time was 150 min. The blood loss volume was 200 to 750 m L,with average volume 340 m L. All patients were followed up for 6 to 42 months. No iatrogenic spinal cord injury nor complications such as artery injury,spinal cord and spinal nerve root local anomalies hydrops occurred. By Flexion-extension radiographs,regrafting of the posterior ligamentous complex after the resection of spinal cord tumors preserved spinal mobility well. Conclusion The mini titanium-plate fixation treatment of spinal canal tumor has good superiority and clinical feasibility by regrafting the posterior ligamentous complex and reconstructing the spinal stability.

关 键 词：后方韧带复合体 椎管内肿瘤 微型钛板 

分 类 号：R687.3[医药卫生—骨科学]