锁孔技术在椎管内肿瘤手术中的应用研究  

Application of keyhole technique in spinal canal tumor surgery

作　　者：张金石[1] 冯开明[1] ZHANG Jinshi;FENG Kaiming(Department of Neurosurgery,Ganzhou People's Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市人民医院神经外科,江西赣州341000

出　　处：《当代医学》2022年第20期146-148,共3页Contemporary Medicine

摘　　要：目的 探究锁孔技术在椎管内肿瘤手术中的价值。方法 选取2019年1月至2020年12月赣州市人民医院神经外科收治的60例椎管内肿瘤手术患者作为研究对象,通过随机数字表法分为研究组与对照组,每组30例。两组均择期行手术治疗,对照组采用常规显微手术治疗,研究组采用显微镜下微通道锁孔技术治疗。比较两组围术期治疗情况、神经脊髓功能、疼痛情况、临床疗效及并发症发生情况。结果 研究组术中出血量少于对照组,术后住院时间短于对照组,术后美国脊柱损伤协会(ASIA)评分高于对照组,视觉模拟评分法(VAS)评分低于对照组,治疗总有效率高于对照组,围术期并发症发生率低于对照组,差异均有统计学意义(P<0.05)。结论 在椎管内肿瘤显微镜手术中采用微通道锁孔技术,能有效减少患者术中出血量,提升手术疗效,降低围术期并发症风险,改善患者神经脊髓功能与疼痛状况,值得临床推广应用。Objective To explore the value of keyhole technique in spinal canal tumor surgery. Methods A total of 60 patients undergoing spinal canal tumor surgery in the Department of Neurosurgery of Ganzhou People’ s Hospital from January 2019 to December 2020 were selected as the research subjects, and they were divided into study group and control group by random number table method, with 30 cases in each group. Both groups underwent elective surgery, the control group was treated with conventional microsurgery, and the study group was treated with microchannel keyhole technique under microscope. Perioperative treatment, neurospinal function, pain, clinical efficacy and complications were compared between the two groups. Results The intraoperative blood loss in the study group was less than the control group, the postoperative hospital stay was shorter than the control group, the postoperative ASIA score was higher than the control group, the VAS score was lower than the control group, the total effective rate was higher than the control group, the perioperative complication rate was lower than the control group, the difference was statistically significant(P<0.05). Conclusion Microchannel keyhole technique can effectively reduce intraoperative blood loss, improve surgical efficacy, reduce the risk of perioperative complications, and promote the recovery of neurospinal function and pain in patients with intraspinal tumor microscope surgery, which is worthy of clinical application.

关 键 词：椎管内肿瘤 显微镜手术 锁孔技术 脊髓功能 手术疗效 并发症 

分 类 号：R739.42[医药卫生—肿瘤]