椎板成形术与椎板切除术治疗胸椎椎管内良性肿瘤的临床效果分析  

Clinical analysis of laminoplasty and laminectomy in the treatment of thoracic intraspinal benign tumors

作　　者：晏欢欣 司泽兵 孙金贵 苏志浩 田高强 胡孔和 YAN Huanxin;SI Zebing;SUN Jingui;SU Zhihao;TIAN Gaoqiang;HU Konghe(The First Clinical College of Guangdong Medical University,Zhanjiang 524000;Department of Spinal Surgery,Yuebei People′s Hospital,Shaoguan 512000)

机构地区：[1]广东医科大学第一临床医学院,湛江524000 [2]粤北人民医院脊柱外科,韶关512000

出　　处：《颈腰痛杂志》2025年第2期223-227,共5页The Journal of Cervicodynia and Lumbodynia

基　　金：韶关市科技计划(220601224532885)。

摘　　要：目的分析椎板成形术与椎板切除术治疗胸椎椎管内良性肿瘤的临床效果。方法对粤北人民医院2018年1月至2022年9月收治的29例胸椎椎管内良性肿瘤患者的临床资料进行回顾性分析。将患者分为椎板切除组(15例)和椎板成形组(14例)。分析对比两组患者的一般资料和术前术后Cobb角、日本骨科学会脊髓功能评分(JOA)、疼痛视觉模拟评分(VAS)、改良脊髓功能评分(McCormick)。结果两组患者术前Cobb角、JOA评分、VAS评分、改良McCormick评分比较,差异无统计学意义(P>0.05)。随访期间内两组患者均未发生胸椎不稳的现象,但椎板成形组Cobb变化值小于椎板切除组(P<0.05);两组患者术后JOA评分均升高,VAS评分、改良McCormick评分均下降,且椎板成形组优于椎板切除组(P<0.05);术中出血量及手术时间,椎板成形组相对较小,但手术时间的差异有统计学意义(P<0.05);椎板成形组并发症发生率低于椎板切除组(P>0.05)。结论椎板成形术治疗胸椎椎管内良性肿瘤可以更好地维持椎体的稳定性,获得更好的临床效果。.Objective To analyze the clinical effects of laminoplasty and laminectomy in the treatment of thoracic intraspinal benign tumors.Methods The clinical data of 29 patients with thoracic intraspinal benign tumors treated in YueBei People′s Hospital from January 2018 to September 2022 were analyzed retrospectively.The patients were divided into laminectomy group(n=15)and laminoplasty group(n=14).The general data,preoperative and postoperative Cobb angle,Japanese Orthopaedic Association Scores,Visual Analogue Scale score and modified McCormick score were analyzed and compared between the two groups.Results The preoperative cobb angle,JOA score,VAS score and modified McCormick score were compared between the two groups.During the follow-up period,there was no thoracic instability in both groups,but the change of Cobb in laminoplasty group was lower than that in laminectomy group(P<0.05).The postoperative JOA scores of the two groups increased,the VAS and modified McCormick scores decreased,and the laminoplasty group was better than the laminectomy group(P<0.05).The intraoperative blood loss and operation time in the laminoplasty group were relatively small,but only the difference in operation time was statistically significant(P<0.05).The incidence of complications in the laminoplasty group was lower than that in the laminectomy group(P>0.05).Conclusion Laminoplasty in the treatment of thoracic spinal canal benign tumors can better maintain the stability of the vertebral body and obtain better clinical results.

关 键 词：胸椎肿瘤 椎管内良性肿瘤 椎板切除术 椎板成形术 脊柱稳定性 

分 类 号：R738.1[医药卫生—肿瘤]