手术治疗Toyama Ⅲ型颈椎管哑铃型肿瘤的临床疗效  

Outcomes of Surgical Treatment for Toyama Ⅲ Type Inner and Outer Cervical Spinal Canal Dumbbell-Shaped Tumors

作　　者：王文达[1] 金祺[1] 阮文枫 平安松[1] 

机构地区：[1]武汉大学中南医院骨科,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2016年第5期836-839,共4页Medical Journal of Wuhan University

摘　　要：目的:探讨ToyamaⅢ型颈椎管哑铃型肿瘤的手术方式及疗效。方法:回顾性分析我院2012年7月-2015年7月收治的21例ToyamaⅢ型颈椎管哑铃型肿瘤手术患者的临床资料,所有患者均由影像学资料明确诊断,病理结果确诊。采用JOA评分对患者术前、末次随访的神经功能的改善进行评价,计算改善率,并作统计学分析。结果:21例患者获得3-18个月的随访,平均6、7个月。末次随访时脊髓神经功能较术前有不同程度的改善(P<0.05),无远期并发症。结论:颈椎管哑铃型肿瘤的患者应根据其Toyama分型选择手术方式,尽可能完全切除肿瘤,可以获得满意的疗效。Objective：To investigate the surgical strategy and effect on Toyama Ⅲ type inner and outer cervical spinal canal dumbbell-shaped tumors. Methods：A retrospective analysis was performed on 21 cases of Toyama Ⅲ type inner and outer cervical spinal canal dumbbell-shaped tumors treated in our hospital from July, 2012 to July, 2015. All the patients were diagnosed by radiographic da- ta and the final diagnosis was made based on the pathological findings after operation. The pa- tients＇ spinal nerve function was evaluated was evaluated by using JOA score before the treat- ment and at the end of the follow-up. The improvement rate was calculated and analyzed by sta- tistics. Results：The 21 patients were followed up for 3 to 18 months with an average of 6. 7 months. At the end of the follow-up the spinal nerve function had different degrees of improve- ment（P〈0.05） without long-term complications. Conclusion：Patients with inner and outer cervi- cal spinal canal dumbbell-shaped tumors should be treated with surgery based on the Toyama classification to remove the tumor completely, and would obtain satisfactory curative effect.

关 键 词：颈椎管 哑铃型肿瘤 Toyama分型 手术治疗 

分 类 号：R739.4[医药卫生—肿瘤]