颈椎管内肿瘤切除临床疗效及颈椎后路植骨融合内固定稳定性观察  

Treatment of Cervical Intraspinal Tumor by Tumorectomy and Postoperative Change of Spinal Stability in Patients by Bone Graft Fusion and Internal Fixation Via Posterior Approach

作　　者：郑锦畅 林思恩 魏波 孙欣 林颢 彭智恒 王朝军 魏劲松 胡资兵 陈思圆 孙杰聪 向旻 ZHENG Jinchang;LIN Sien;WEI Bo(Affiliated Hospital ofGuangdong Medical University,Zhanjiang 524001,China)

机构地区：[1]广东医科大学附属医院,广东湛江524001

出　　处：《中外医学研究》2018年第17期48-50,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨颈椎管内肿瘤切除临床疗效及颈椎后路内固定稳定性。方法:回顾分析2007年6月-2017年3月在笔者所在医院行颈椎管内肿瘤切除并行颈椎后路植骨融合内固定手术的61例病例资料,并至少随访12个月,分析术前、术后Frankel分级、日本骨科协会评分(Japanese orthopedic association scores,JOA)及颈椎稳定性的变化。结果:本组61例均后路一次手术完全切除肿瘤,平均随访17.6个月(12~32个月),术后Frankel分级均较术前提高,JOA评分有明显改善,肿瘤无复发,术后无脊髓损伤或症状加重,无血管、神经损伤等严重并发症发生,术后无内固定松动、误置或断裂发生,术后未见颈椎失稳情况。结论:颈椎管内肿瘤行后路肿瘤切除,可取得良好临床疗效,颈椎后路植骨融合内固定可以重建颈椎稳定性,减少术后并发症。Objective： To observe treatment of cervical intraspinal tumor by tumorectomy and the postoperative change of spinal stability in patients by bone graft fusion and internal fixation via posterior approach.Method： Retrospectively analyzed a series of 61 patients of cervical intraspinal tumor by tumorectomy and treated by bone graft fusion and internal fixation via posterior approach in our hospital from June 2007 to March 2017.Analyzed the changes of the Frankel grade, JOA score and the spinal stability in patients before and after operation, follow-up at least 12 months.Result： All tumors in the 61 patients were primarily removed via posterior approach.The follow-up time ranged from 12 to 32 months, with an average of 17.6 months.Patients＇ Frankel grade, JOA scores were obviously improved.There were no recurrence, spinal cord injuries and deterioration, vascular and nerve injuries, loose or broken fixation and cervical instability after operation.Conclusion ： Surgical treatment can achieve good clinical efficacy in the treatment of cervical intraspinal tumor.The surgical by bone graft fusion and internal fixation via posterior approach can reconstruct spinal stability in patients and reduce postoperative complications.

关 键 词：颈椎 颈椎管内肿瘤 后路内固定 稳定性 脊髓功能 

分 类 号：R738[医药卫生—肿瘤]