摘要
目的评价椎板成形术在椎管内肿瘤手术中的临床疗效。方法回顾性分析82例手术治疗椎管内肿瘤患者的临床资料,按椎管打开方法分为治疗组40例和对照组42例。治疗组行椎板成形术,对照组行椎板切除术。比较2组患者的近期指标(包括手术时间、术中出血量、肿瘤全切率、术后切口脑脊液漏发生率、术后1个月脊髓神经功能恢复程度)和远期指标(包括术后2年脊髓神经功能恢复程度、椎管腔最窄处的截面积、脊柱不稳率、脊柱成角畸形发生率)。结果治疗组术中出血量、术后切口脑脊液漏发生率、术后2年脊髓神经功能恢复程度、椎管腔最窄处的截面积、脊柱不稳率及脊柱成角畸形发生率均显著优于对照组(P<0.05)。结论采用椎板成形术开放椎管,术野显露充分,肿瘤全切率与传统方法相同,但出血量更少,术后脑脊液漏发生率低。
Objective To evaluate the clinical effect of laminoplasty on treatment of intra- spinal canal tumors. Methods Clinical materials of 82 intra- spinal canal tumor patients were analyzed retrospectively. They were divided into treatment group （n = 40） and control group （n = 42） according to open method of spinal tube. The treatment group was treated with laminoplasty and the control group was treated with laminectomy. Recent indicators （including surgical time, intra- surgical hemorrhage, total tumor resection rate, postoperative cerebrospinal fluid leakage rate, extent of spinal nerves recovery after 1 month） and long term indicators （including extent of spinal nerves recovery after 2 years, area of space of maximal spinal canal stenosis, rate of instability of spinal column, rate of spinal deformity） were compared in both groups. Results In the treatment group, the intra-surgical hemorrhage, lower rate o{ postoperative cerebrospinal fluid leakage, and extent of spinal nerves recovery at 2 years, lower rate of spinal column instability and lower area of space of maximal spinal canal stenosis were significantly better than those in the control group. Con- clusion Application of laminoplasty for spinal cord surgery can provide the adequate exposure, and the total tumor resection rate is similar to the traditional method, but intrasurgical hemorrhage and postoperative rate of cerebrospinal fluid leakage are better.
出处
《实用临床医药杂志》
CAS
2015年第15期68-71,共4页
Journal of Clinical Medicine in Practice
基金
广西科学研究与技术开发计划课题(桂科攻1298003-5-1)
