中国临床医学2017，Vol.24Issue(6)：908-911,4.DOI:10.12025/j.issn.1008-6358.2017.20170865
部分半椎板与半椎板入路显微切除椎管内神经鞘瘤的疗效比较
Efficacy comparison of hemi-semi-laminectomy and hemilaminectomy approach for microsurgical treatment of spinal schwannomas
摘要
Abstract
Objective:To compare the clinical effect between hemi-semi-laminectomy and hemilaminectomy approach for treatment of spinal schwannomas.Methods:Clinical data of patients with spinal schwannomas who underwent microsurgical treatment were retrospectively analyzed,among them,24 cases for hemi-semi-laminectomy approach and 30 cases for hemilaminectomy approach.The duration of operation,intraoperative blood loss,postoperative complications,spinal stability,stay time and costs of hospitalization were compared between two groups.Results:The tumors were totally removed,and the symptoms and signs were improved significantly after operation in both groups.Compared with hemilaminectomy approach group,hemi-semi-laminectomy approach group had shorter operation duration,less intraoperative blood loss,shorter hospitalization stay and lower costs (all P＜ 0.05).However,there were no significant differences in incidences of complications or spinal deformity between two groups.Conclusions:Hemi-semi-laminectomy approach can achieve a further reduction in iatrogenic trauma compared with hemilaminectomy approach without increasing surgical risk and incidences of complications,which is a safe and effective approach for microsurgical treatment of spinal schwannomas between two vertebral plates.关键词
部分半椎板/半椎板/神经鞘瘤/显微手术Key words
hemi-semi-laminectomy/hemilaminectomy/schwannomas/microsurgery分类
医药卫生引用本文复制引用
苏星,张宇,施炜,陈建,陈建国..部分半椎板与半椎板入路显微切除椎管内神经鞘瘤的疗效比较[J].中国临床医学,2017,24(6):908-911,4.基金项目
江苏省“六大人才高峰”项目(2014-WSW-028).Supported by "Six Major Human Resources" Project of Jiangsu Province(2014-WSW-028). （2014-WSW-028）
