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作 者:王兵 侯德淼 谭菁华 晏怡果 WANG Bing;HOU De-miao;TAN Jing-hua;YAN Yi-guo(Department of Spinal Surgery,The First Affiliated Hospital,Hengyang Medical College,University of South China,Heng-yang 421001,China)
机构地区:[1]南华大学衡阳医学院附属第一医院脊柱外科,湖南衡阳421001
出 处:《中国矫形外科杂志》2023年第9期819-822,827,共5页Orthopedic Journal of China
基 金:湖南省自然科学基金面上项目(编号:2020JJ4549)。
摘 要:颈部病变主要包括颈椎和颈部软组织病变,由于C_(2)椎体较小,且可能损伤颈动脉、椎动脉、后双侧颈神经、前咽喉、椎管内脊髓等关键邻近结构,C_(2)椎体的骨性病变穿刺取材及肿瘤治疗相对困难,近年来,随着颈椎肿瘤及颈椎转移瘤患者的增多,临床上常需要进行活检术及其他方式以明确病变性质从而进行诊断及后续治疗。本文就C_(2)椎体活检及椎体成形术手术入路方式、临床疗效以及并发症等进行综述,以期为临床医师提供参考。Cervical lesions mainly include cervical vertebrae and soft tissue lesions.Due to the small size of C_(2) vertebra,it is relatively difficult to conduct puncture biopsy and tumor therapy with risk to damage the carotid artery,vertebral artery,posterior bilateral cervical nerve,anterior throat,spinal cord and other key adjacent structures.In recent years,with the increasing number of patients with cervical tumor and cervical metastatic tumor,biopsy and other therapeutic managements are often needed to determine the nature of the lesion for diagnosis and subsequent treatment.In this paper,the surgical approach,clinical efficacy and complications of C_(2) vertebral biopsy and vertebroplasty were reviewed,in order to provide reference for clinicians.
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