| 后路全脊柱截骨肿瘤清除植骨内固定治疗胸椎肿瘤 |
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Received:March 13, 2009
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| 作者 | Author | 单位 | Unit | E-Mail |
| 赵新建 |
ZHAO Xin-jian |
佛山市第一人民医院,广东 佛山 528000 |
The First People's Hospital of Foshan,Foshan 528000,Guangdong,China |
wuruihui2005@163.com |
| 廖绪强 |
LIAO Xu-qiang |
佛山市第一人民医院,广东 佛山 528000 |
The First People's Hospital of Foshan,Foshan 528000,Guangdong,China |
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| 关宏业 |
GUAN Hong-ye |
佛山市第一人民医院,广东 佛山 528000 |
The First People's Hospital of Foshan,Foshan 528000,Guangdong,China |
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| 吴锐辉 |
WU Rui-hui |
佛山市第一人民医院,广东 佛山 528000 |
The First People's Hospital of Foshan,Foshan 528000,Guangdong,China |
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| 期刊信息：《中国骨伤》2009年22卷，第9期，第704-705页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：探讨后路全脊柱截骨肿瘤清除植骨内固定治疗胸椎肿瘤的临床效果，为脊柱肿瘤清除重建提供一种安全、有效的手术方式。
方法：自2002年1月至2007年12月收治18例胸椎肿瘤患者，男10例，女8例；年龄45～78岁，平均56岁；病程2～13个月。包括胸椎的良、恶性及转移性肿瘤，采用后路切除椎板、双侧椎弓根后椎体肿瘤完全清除，植骨、后路固定。术后摄X线片观察神经恢复情况并监测肿瘤标志物及肿瘤生长情况。
结果：随访12～60个月，平均29个月，术后均无神经损害症状出现或者加重，2例截瘫患者完全恢复。X线检查：术后3～9个月，平均(8±1.4)个月植骨融合。所有患者均恢复正常生活与工作。
结论：经后路全脊柱截骨肿瘤清除植骨内固定治疗胸椎肿瘤，具有肿瘤清除彻底、无须开胸手术、术后恢复快等优点，是治疗脊柱肿瘤的有效术式。 |
| [关键词]:胸椎 肿瘤 外科手术 截骨术 |
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| Treatment of thoracic vertebrae tumor with posterior total vertebral resection and internal fixation |
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Abstract:
Objective: To evaluate the clinical outcome of posterior total vertebral resection in treating thoracic vertebrae tumor in order to provide a safe and effective method in rebuilding spine stability.
Methods: From 2002.1 to 2007.12,18 patients with thoracic spine tumor underwent posterior total vertebral resection and internal fixation. Among the patients,10 patients were male and 8 patients were female,ranging in age from 45 to 78 years,with an average of 56 years. The course of the diseases ranged from 2 to 13 months. After the operation,the tumor reccurence was monitored by X-ray,and the tumor markers were detected.
Results: All the patients were followed up for a period ranging from 12 to 60 months,averaged 29 months. All the patients showed a postoperative neurologic improvement,as well as showed radiographic evidence of solid fusion in the follow-up examinations during 3 to 9 months,with an average of(8±1.4)months.
Conclusion: Posterior total vertebral resection for the treatment of thoracic spine tumor is safe and effective. |
| KEYWORDS:Thoracic vertebrae Neoplasms Surgical procedures,operative Osteotomy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 赵新建,廖绪强,关宏业,吴锐辉.后路全脊柱截骨肿瘤清除植骨内固定治疗胸椎肿瘤[J].中国骨伤,2009,22(9):704~705 |
| 英文格式: | ZHAO Xin-jian,LIAO Xu-qiang,GUAN Hong-ye,WU Rui-hui.Treatment of thoracic vertebrae tumor with posterior total vertebral resection and internal fixation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(9):704~705 |
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