分析后路一期全椎体切除脊柱重建术治疗胸腰段脊柱肿瘤的疗效  

Effect and Shortcomings of One-stage Posterior Total Vertebrectomy and Spinal Reconstruction in Treatment of Thoracolumbar Spinal Tumors

作　　者：杨帆 黄庆华 吴罗根 YANG Fan;HUANG Qinghua;WU Luogen(Zhuzhou Central Hospital,Zhuzhou,Hunan 412000,China)

机构地区：[1]株洲市中心医院,湖南株洲412000

出　　处：《大医生》2019年第15期3-4,共2页Doctor

摘　　要：目的探究后路一期全椎体切除脊柱重建术治疗胸腰段脊柱肿瘤的临床疗效。方法选取2016年7月至2019年6月株洲市中心医院收治的64例胸腰段脊柱肿瘤患者为研究对象,按照数字盲抽法随机分为后路一期组和前后路联合组,各32例。后路一期组施行后路一期全椎体切除脊柱重建术治疗,前后路联合组施行前后路联合全椎体切除脊柱重建术治疗。比较两组患者治疗疗效。结果前后联合组患者的手术时间长于后路一期组患者(P<0.05);术中出血量明显多于后路一期组患者(P<0.05),后路一期组患者治疗后的并发症发生率明显低于前后联合组(P<0.05)。结论后路一期全椎体切除脊柱重建术给患者带来的创伤更小,并且治疗效果也较为显著。但是由于手术视野存在一定的局限性,手术的风险较大。Objective To explore the clinical efficacy and shortcomings of one-stage posterior total vertebrectomy and spinal reconstruction in the treatment of thoracolumbar spinal tumors.Methods A total of 64 patients with thoracolumbar spine tumors admitted to Zhuzhou Central Hospital from July 2016 to June 2019 were randomly divided into two groups according to the digital blind sampling method:the first stage group(posterior approach)and the combined group(anterior and posterior approaches),32 cases each.One-stage posterior total vertebrectomy and spinal reconstruction were performed in the one-stage posterior group,and anterior-posterior combined total vertebrectomy and spinal reconstruction were performed in the combined anterior-posterior group.The therapeutic effects of the two groups were compared.Results The operative time of the combined group was longer than that of the posterior group(P<0.05).The intraoperative blood loss was significantly higher than that of the first stage posterior group(P<0.05),and the complication rate of the first stage posterior group after treatment was significantly lower than that of the combined group(P<0.05).Conclusion One-stage posterior total vertebrectomy and spinal reconstruction can bring less trauma to patients,and the therapeutic effect is also remarkable.However,due to the limitations of surgical field of vision,the risk of surgery is relatively high.

关 键 词：胸腰段脊柱肿瘤 全椎体切除 临床疗效 

分 类 号：R68[医药卫生—骨科学]