超声乳化吸引刀在脊髓脂肪瘤手术中的应用  

Application of cavitron ultrasonic surgical aspirator in microsurgery of spinal lipoma surgery

作　　者：周铜 詹剑 肖爵贤 龚绍慧 程祖珏 Tong Zhou;Jian Zhan;Juexian Xiao;Shaohui Gong;Zujue Cheng(Institute of Neuroscience of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学神经科学研究所,南昌330006

出　　处：《中华神经创伤外科电子杂志》2024年第2期102-106,共5页Chinese Journal Of Neurotraumatic Surgery:Electronic Edition

摘　　要：目的探讨超声乳化吸引刀(CUSA)在脊髓脂肪瘤手术治疗中的应用效果。方法回顾性分析南昌大学第二附属医院神经外科自2020年9月至2023年5月应用CUSA手术治疗的10例脊髓脂肪瘤患者的临床资料。采用McCormick分级法评估患者手术前后的脊髓功能。结果10例脂肪瘤均予以近全切除。术后1个月,脊髓功能改善1例,稳定9例,无恶化病例;术后12个月,脊髓功能改善10例,无恶化病例。结论在脊髓脂肪瘤的手术治疗中,使用CUSA切除髓内脂肪组织具有操作便捷、脊髓髓内脂肪组织切除率高、术中脊髓神经功能损伤风险低等特点。Objective To investigate the effect of cavitron ultrasonic surgical aspirator(CUSA)in spinal cord lipomas surgery.Methods A retrospective analysis was conducted on the clinical data of 10 patients with spinal lipoma who underwent CUSA at Neurosurgery Department of the Second Affiliated Hospital of Nanchang University from September 2020 to May 2023.McCormick grading method was used to evaluate the spinal cord function of patients before and after surgery.Results All 10 cases of lipomas were nearly completely removed.One month after surgery,1 patient had spinal cord function improved,9 patients were stable,no deterioration cases;Twelve months after surgery,10 patients had spinal cord function improvement,no deterioration cases.Conclusion In the surgical treatment of spinal cord lipomas,the use of CUSA to remove intramedullary adipose tissue has the characteristics of convenient operation,high removal rate of intramedullary adipose tissue,and low risk of intraoperative spinal nerve function damage.

关 键 词：脊髓脂肪瘤 超声乳化吸引刀 显微手术 疗效 

分 类 号：R739.4[医药卫生—肿瘤]