| 椎管内髓外硬膜下肿瘤的外科治疗 |
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投稿时间：2006-11-01
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| 作者 | Author | 单位 | Address | E-Mail |
| 董黎强 |
DONG Li-qiang |
新华医院骨科，浙江 杭州 310005 |
Department of Orthopaedics,Xinhua Hospital of Zhejiang,Hangzhou 310005,Zhejiang,China |
dlq58@126.com |
| 田纪伟 |
TIAN Ji-wei |
上海长征医院骨科 |
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| 王昌兴 |
WANG Chang-xing |
新华医院骨科，浙江 杭州 310005 |
Department of Orthopaedics,Xinhua Hospital of Zhejiang,Hangzhou 310005,Zhejiang,China |
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| 曹根洪 |
CAO Gen-hong |
新华医院骨科，浙江 杭州 310005 |
Department of Orthopaedics,Xinhua Hospital of Zhejiang,Hangzhou 310005,Zhejiang,China |
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| 期刊信息：《中国骨伤》2008年，第21卷，第1期，第54-55页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：探讨椎管内髓外硬膜下肿瘤的临床特点及手术中应用内固定重建脊柱稳定性的疗效。
方法：手术治疗椎管内髓外硬膜下肿瘤24例，男14例，女10例；年龄12～68岁，平均40岁。14例在切除肿瘤后应用内固定及自体植骨，10例未行内固定及植骨。
结果：本组24例均行后路一次手术切除肿瘤，平均随访22个月(6～36个月),肿瘤无复发，术后脊髓损伤无加重。随访Frankle分级提高1～3级，无血管、神经并发损伤。植入内固定者无固定物断裂、松动，固定效果满意，相应植骨部位均形成骨性融合。
结论：椎管内髓外硬膜内肿瘤外科切除同时结合植骨内固定可有效保持脊柱的稳定性。 |
| 【关键词】髓外硬膜内肿瘤 内固定 骨移植 脊柱稳定 |
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| Surgical treatment for the intradural extramedullary tumor in the spinal canal |
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ABSTRACT
Objective: To study the clinical characteristics of the intradural extramedullary tumor in the spinal canal,as well as the application of internal fixation technique to restore the spinal stability in the surgical treatment of intradural extramedullary tumor in the spinal canal through posterior approach.
Methods: Among 24 patients receiving the tumor resection through posterior approach,14 patients were male and 10 patients were female, ranging in age from 12 to 68 years,with an average of 40 years. Fourteen patients were treated with internal fixation and autogenous bone graft after tumor resection,and other 10 patients without internal fixation and autogenous bone graft.
Results: All the patients underwent one-stage resection of the tumor. During the follow-up period ranged from 6 months to 3 years(average 22 months),no recurrence of the tumor was found and the injury of spine cord did not aggravate,no vascular or nerve-root injury after the operation. The Frankle grades were improved by 1 to 3 degrees. Bone fusion formed at the corresponding bone grafted place. And there was no instrument broken or loosening.
Conclusion: After the intradural extramedullary tumor is resected,internal fixation and autogenous bone graft can restore the stability of spine. |
| KEY WORDS Intradural extramedullary tumor Internal fixators Bone transplantation Spinal stabilization |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 董黎强,田纪伟,王昌兴,曹根洪.椎管内髓外硬膜下肿瘤的外科治疗[J].中国骨伤,2008,21(1):54~55 |
| 英文格式: | DONG Li-qiang,TIAN Ji-wei,WANG Chang-xing,CAO Gen-hong.Surgical treatment for the intradural extramedullary tumor in the spinal canal[J].zhongguo gu shang / China J Orthop Trauma ,2008,21(1):54~55 |
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