摘要
目的探讨后路半椎板切除术治疗椎管内神经鞘瘤的临床效果及对神经功能的影响。方法选取2015年9月至2019年9月间收治的80例椎管内神经鞘瘤患者,采用随机数字表法分为观察组和对照组,每组40例。观察组患者采用后路半椎板切除术,对照组患者采用后路全椎板切除术,比较两组患者围术期相关指标、日本骨科协会(JOA)评分变化及并发症发生情况。结果观察组患者手术时间、术中出血量、住院时间和术后下床时间均短于对照组,差异均有统计学意义(均P <0. 05)。术前,两组患者颈椎、胸椎和腰椎JOA评分比较,差异均无统计学意义(P> 0. 05)。术后,两组患者各JOA评分均升高,且观察组高于对照组,差异均有统计学意义(均P <0. 05)。观察组患者并发症发生率为5. 0%,低于对照组的22. 5%,差异有统计学意义(P <0. 05)。结论后路半椎板切除术治疗椎管内神经鞘瘤手术时间短,术中出血量少,手术创伤小,可改善JOA评分,降低并发症发生率,值得临床借鉴。
Objective To investigate the efficacy of posterior semi-laminectomy for intravertebral schwannoma and its effect on nerve function. Methods Eighty patients with intravertebral schwannoma who admitted to Shannxi Provincial Armed Police Corps Hospital were selected as the study subjects from September 2015 to September 2019,and were divided into an observation group and a control group by random number table method with 40 patients in each group. The observation group received posterior semi-laminectomy and the control group received posterior laminectomy. Changes in perioperative indicators,Japanese Orthopaedic Association( JOA) scores and complications were compared between the two groups( P > 0. 05). Results The operation time,intraoperative blood loss,length of hospital stay and postoperative out-of-bed activity was shorter in the observation group than in the control group( all P <0. 05). There was no significant difference in JOA scores of the cervical,thoracic and lumbar vertebrae between the two groups preoperative before the surgery( P > 0. 05). After the surgery,the JOA scores were significantly increased in the two groups,which were significantly higher in the observation group than in the control group( all P < 0. 05). The incidence of complications was 5. 0% in the observation group,which was significantly lower than 22. 5% of the control group( P < 0. 05). Conclusion Posterior semi-laminectomy for intraspinal schwannoma has shorter operation time and less intraoperative blood loss and trauma,which can improve the JOA score and reduce the incidence of complications. It is worthy of clinical reference.
作者
李军鹏
张鹏颖
LI Jun-peng;ZHANG Peng-ying(Department of Spinal Neurosurgery,Shannxi Provincial Armed Police Corps Hospital,Xi'an 710086,China;Department of Surgery,Shenmu Hospital,Shenmu 719300,China)
出处
《中国肿瘤临床与康复》
2020年第7期801-804,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
