半椎板入路显微手术与全椎板切除术在脊髓肿瘤治疗中的应用及效果比较研究  

Comparative Study on the Application and Effect of Semi-laminectomy Microsurgery and Total Laminectomy in the Treatment of Spinal Cord Tumors

作　　者：龚进 侯建金 GONG Jin;HOU Jianjin(Department of Neurosurgery,Longyan People's Hospital,Longyan,Fujian,364000,China)

机构地区：[1]龙岩人民医院神经外科,福建龙岩364000

出　　处：《中外医疗》2024年第33期6-10,共5页China & Foreign Medical Treatment

摘　　要：目的 探讨半椎板入路显微手术与全椎板切除术在脊髓肿瘤治疗中的应用效果。方法 回顾性选取2021年1月—2023年12月龙岩人民医院收治的50例脊髓肿瘤患者的临床资料,依据不同治疗方法分为对比组和探究组,每组25例。对比组患者接受全椎板切除术治疗,探究组患者接受半椎板入路显微手术治疗。对比两组患者手术指标、神经功能恢复情况、日常生活活动能力评分及并发症发生率。结果 探究组住院时间、手术时间及引流管放置时间均短于对比组,术中出血量少于对比组,差异均有统计学意义(P均<0.05)。探究组神经功能分级优于对比组,差异有统计学意义(P<0.05)。术后1周和术后1个月,探究组日常生活活动能力评分均高于对比组,差异均有统计学意义(P均<0.05)。探究组并发症发生率为0.00%(0/25),低于对比组的24.00%(6/25),差异有统计学意义(χ^(2)=4.735,P<0.05)。结论 与全椎板切除术比较,半椎板入路显微手术在脊髓肿瘤的治疗上具有优势,能够有效地减少术中出血量,缩短手术时间及患者恢复时间,有助于促进神经功能的恢复,提升了患者的日常生活活动能力,并可降低并发症发生率。Objective To investigate the effect of semi-laminectomy microsurgery and total laminectomy in the treatment of spinal cord tumors.Methods The clinical data of 50 patients with spinal cord tumor admitted to Longyan People's Hospital from January 2021 to December 2023 were retrospectively selected and divided into comparison group and exploration group according to different treatment methods,with 25 cases in each group.Patients in the comparison group received total laminectomy,and patients in the exploration group received semi-laminectomy microsurgery.The surgical indexes,neurological function recovery,activity of daily living score and complication rate were compared between the two groups.Results The hospitalization time,operation time and drainage tube placement time of the exploration group were shorter than those of the comparison group,and the intraoperative blood loss was less than that of the comparison group,the differences were statistically significant(all P<0.05).The neurological function classification of the exploration group was better than that of the comparison group,and the difference was statistically significant(P<0.05).At 1 week and 1 month after surgery,the scores of activities of daily living in the exploration group were higher than those in the comparison group,and the differences were statistically significant(both P<0.05).The incidence of complications in the exploration group was 0.00%(0/25),which was lower than that in the comparison group 24.00%(6/25),the difference was statistically significant(χ^(2)=4.735,P<0.05).Conclusion Compared with total laminectomy,semi-laminectomy microsurgery has advantages in the treatment of spinal cord tumors,which can effectively reduce the amount of intraoperative blood loss,shorten the operation time and the patients' recovery time,promote the recovery of neurological function,improve the patients' daily living activities,and reduce the incidence of complications.

关 键 词：半椎板入路显微手术 全椎板切除术 脊髓肿瘤 治疗效果 并发症 

分 类 号：R739.42[医药卫生—肿瘤]