摘要
目的探讨神经内镜下进行椎管内手术的方法。方法对35例椎管内病变，包括椎管肿瘤、脊髓栓系以及脊髓空洞的患者，采用硬质内镜下后正中3cm小切口行椎管内病变的手术治疗。结果35例患者术中及术后无明显并发症发生。术后不需进行制动。随访3—53个月，原有临床症状减轻或者消失，无脊柱不稳定发生；影像学复查，12例椎管内肿瘤全切除10例，次全切除2例；脊髓空洞较前缩小，脊髓栓系解除。结论神经内镜下进行椎管内手术，方法可行、创伤小，是一种新型、安全、有效的手术方法。
Objective To investigate technical of Endoscopic surgical treatment of intraspinal lesions. Methods 35 patients with intraspinal lesions, including tumors, tethered cord syndrome and syringomyelia,were reviewed. We made a 3 cm incision under the endoscopy for the surgical treatment. Results No complications was found. The immobilization was not needed. 35 cases were followed - up 3 - 53 months after operation, all the symptoms and signs were remarkably relieved. Among 12 patients with tumors, 10 cases underwent total resection, 2 cases underwent subtotal resection. Conclusion The endoscope - assisted intraspinal operation is a safe and effective surgical method to treat intraspinal lesions.
出处
《中华神经外科杂志》
CSCD
北大核心
2012年第3期232-234,共3页
Chinese Journal of Neurosurgery
关键词
椎管内病变
神经内镜
手术
脊柱稳定性
Intraspinal lesions
Neuroendoscopy
Operation
Spinal stability
