半椎板切除入路治疗颈椎管哑铃型肿瘤  

Semi-laminectomy procedures for the management of dumbbel tumors of the cervical spine

作　　者：马长城[1] 王振宇[1] 

机构地区：[1]北京大学第三医院神经外科,北京100083

出　　处：《中国微创外科杂志》2001年第6期336-337,F003,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的　探讨微创手术切除颈椎管哑铃型肿瘤的可行性。　方法　用半椎板切除入路显微手术治疗 14例颈椎管哑铃型肿瘤。　结果　全切肿瘤 12例 ,次全切 1例 ,大部切除 1例。术中椎动脉保护完好 ,术后症状均有明显改善 ,有 9例随访 6个月至 18个月 ,无一例复发及出现颈椎不稳的表现。　结论　此术式不仅创伤小、出血少 ,且不影响颈椎的稳定性 。Objective To study the feasibility of minimally invasive procedure for the management of dumbbel tumors of the cervical vertebral canal. Methods Fourteen cases of dumbbel tumors of the cervical vertebral canal were treated by the approch of semi-laminectomy. Results Twelve cases underwent total resections, one case underwent subtotal resection, another case underwent great part of resection. The vertebral artery was preserved well during the operation. Nine out of fourteen cases had followed up for 6～18 months. Neurological function was improvement in all cases. No recurrence or instability of spine was found. Conclusions The approch of semi-laminectomy has the advantages of minimal invasion, less bleeding, and no influence on stability of spine. It is a good choice for dumbbel tumors of the cervical vertebral canal

关 键 词：半椎板切除术 手术入路 治疗 颈椎管哑铃型肿瘤 椎动脉 显微外科 

分 类 号：R738.1[医药卫生—肿瘤] R730.56[医药卫生—临床医学]