半椎板切除技术与套筒技术在椎管内肿瘤手术中的应用  

Application of hemilaminectomy and telescopic techniques to surgery for patients with intraspinal tumors

作　　者：冯煜 谢天浩 张弛 丁慧超 宋健 徐国政 FENG Yu;XIE Tian-hao;ZHANG Chi;DING Hui-chao;SONG Jian;XU Guo-zheng(Department of Neurosurgery,General Hospital of Central Theater Command,PLA,Wuhan 430070,China;Department of Neurosurgery,Tongji Hospital of Tongji University,Shanghai 200333,China)

机构地区：[1]中国人民解放军中部战区总医院神经外科,武汉430070 [2]上海市同济医院神经外科,上海200333

出　　处：《中国临床神经外科杂志》2021年第1期14-16,共3页Chinese Journal of Clinical Neurosurgery

基　　金：武汉市中青年医学骨干人才培养工程。

摘　　要：目的探讨半椎板切除技术与套筒技术在椎管内肿瘤切除术中的应用效果。方法回顾性分析2018~2020年显微手术治疗的14例椎管内肿瘤的临床资料,采用半椎板切除技术12例,套筒技术2例。结果14例肿瘤均获全切除。术后随访4~20个月,症状均改善,影像学检查肿瘤均无复发,无脊柱畸形。结论半椎板切除技术与套筒技术在椎管内肿瘤中均可获得满意的手术效果,术后椎体稳定性较好,恢复较快;其中套筒技术对皮肤和肌肉的损伤更小。Objective To investigate the clinical effectiveness of hemilaminectomy and telescopic techniques during the surgery for the patients with intraspinal tumors.Methods The clinical data of 14 patients with intraspinal tumors underwent surgery from 2018 to 2020 were retrospectively analyzed.Results Hemilaminectomy and telescopic techniques were used in 12 and 2 patients,respectively.Total resection of tumor was achieved in all the patients.There was no surgical deaths.Postoperative follow-up(range,4~20 months)showed inprovement of the symptoms in all the patients,no recurrence of tumors and no cervical deformities.Conclusions Both the hemilaminectomy and telescopic techniques can achieve satisfactory surgical outcomes in the patients with intraspinal tumors,which have some advantages including good postoperative stability and quick recovery.The telescopic technique has less damage to the skin and muscles.

关 键 词：椎管内肿瘤 显微手术 半椎板切除技术 套筒技术 

分 类 号：R739.42[医药卫生—肿瘤] R651.11[医药卫生—临床医学]