临床神经外科杂志2019，Vol.16Issue(5)：434-438,5.DOI:10.3969／j.issn.1672-7770.2019.05.014
半椎板入路切除椎管内外哑铃型肿瘤
Hemilaminectomy Approach for Spinal Dumbbell-shaped Tumor Resection
袁腾飞 1孟肖利 2刘绍严 3李鉴 4赵兵 1万经海1
作者信息
- 1. 30601 合肥,安徽医科大学第二附属医院神经外科
- 2. 中国医学科学院肿瘤医院神经外科
- 3. 中国医学科学院肿瘤医院头颈外科
- 4. 中国医学科学院肿瘤医院胸外科
- 折叠
摘要
Abstract
Objective To investigate the surgical technique of the hemilaminectomy for theresection of spinal dumbbell-shaped tumors.Methods The clinical data of 26 adult patients with spinal dumbbell-shaped tumor surgically treated in Department of Neurosurgery , Cancer Hospital Chinese Academy of Medical Sciences from March 2013 to May 2018 were analyzed retrospectively.Results Hemilaminectomy was used in all patients to resect the tumor ,including posterior median hemilaminectomy approach in 13 patients, anterior lateral hemilaminectomy approach in 12 and combined anterior and posterior approach in 1.Gross total resection was achieved in all but 1 patient in this group.The postoperative follow-up for 4 to 60 months showed neurological symptoms were significantly relieved without obviously spine instability .Conclusions Most spinal dumbbell-shaped tumors could be resected through a hemilaminectomy approach in single stage.Compared with traditional laminectomy , hemilaminectomy has less trauma and little impact on the spine stability.关键词
半椎板入路/椎管/哑铃型肿瘤/脊柱稳定性Key words
hemilaminectomy/ spinal canal/ spinal dumbbell-shaped tumors/ spine stability分类
医药卫生引用本文复制引用
袁腾飞,孟肖利,刘绍严,李鉴,赵兵,万经海..半椎板入路切除椎管内外哑铃型肿瘤[J].临床神经外科杂志,2019,16(5):434-438,5.
