国际外科学杂志
國際外科學雜誌
국제외과학잡지
INTERNATIONAL JOURNAL OF SURGERY
2009年
6期
379-381,封3
,共4页
超声乳化吸引器%后入路%显微手术%神经鞘瘤
超聲乳化吸引器%後入路%顯微手術%神經鞘瘤
초성유화흡인기%후입로%현미수술%신경초류
utrasonic technology%posterior approach%microsurgery%spinal schwannoma
目的 探讨超声乳化技术在椎管内脊髓腹侧及腹外侧神经鞘瘤切除术中的应用价值.方法 应用日本SONOPET MODEL UST-2001超声乳化吸引系统,采用后入路方法,结合显微手术切除40例椎管内脊髓腹侧及腹外侧神经鞘瘤.结果 术中全部病例均在超声乳化技术辅助下行肿瘤全切除,术中视野暴露清晰,椎板切除范围可控,无继发损伤发生,出血量为50～150 mL,平均出血量70 mL,术中均未输血,术后病理诊断证实为神经鞘瘤,术前后MR影像展示证实肿瘤全切除,术后所有患者神经功能均有明显恢复,住院天数8～12 d,平均10 d,随访3月～4年,无脊柱不稳、根痛、复发等现象.结论 后入路椎管内脊髓腹侧及腹外侧神经鞘瘤采用超声乳化技术辅助显微手术技术切除,是一种十分有效而安全的手术方法,特别是在骨窗形成和肿瘤全切除上,无物理性挤压、旋转撕脱伤及高温灼伤,且减少术中出血量,确保脊柱的稳定,避免术后疼痛,能充分达到微创的手术效果.
目的 探討超聲乳化技術在椎管內脊髓腹側及腹外側神經鞘瘤切除術中的應用價值.方法 應用日本SONOPET MODEL UST-2001超聲乳化吸引繫統,採用後入路方法,結閤顯微手術切除40例椎管內脊髓腹側及腹外側神經鞘瘤.結果 術中全部病例均在超聲乳化技術輔助下行腫瘤全切除,術中視野暴露清晰,椎闆切除範圍可控,無繼髮損傷髮生,齣血量為50～150 mL,平均齣血量70 mL,術中均未輸血,術後病理診斷證實為神經鞘瘤,術前後MR影像展示證實腫瘤全切除,術後所有患者神經功能均有明顯恢複,住院天數8～12 d,平均10 d,隨訪3月～4年,無脊柱不穩、根痛、複髮等現象.結論 後入路椎管內脊髓腹側及腹外側神經鞘瘤採用超聲乳化技術輔助顯微手術技術切除,是一種十分有效而安全的手術方法,特彆是在骨窗形成和腫瘤全切除上,無物理性擠壓、鏇轉撕脫傷及高溫灼傷,且減少術中齣血量,確保脊柱的穩定,避免術後疼痛,能充分達到微創的手術效果.
목적 탐토초성유화기술재추관내척수복측급복외측신경초류절제술중적응용개치.방법 응용일본SONOPET MODEL UST-2001초성유화흡인계통,채용후입로방법,결합현미수술절제40례추관내척수복측급복외측신경초류.결과 술중전부병례균재초성유화기술보조하행종류전절제,술중시야폭로청석,추판절제범위가공,무계발손상발생,출혈량위50～150 mL,평균출혈량70 mL,술중균미수혈,술후병리진단증실위신경초류,술전후MR영상전시증실종류전절제,술후소유환자신경공능균유명현회복,주원천수8～12 d,평균10 d,수방3월～4년,무척주불은、근통、복발등현상.결론 후입로추관내척수복측급복외측신경초류채용초성유화기술보조현미수술기술절제,시일충십분유효이안전적수술방법,특별시재골창형성화종류전절제상,무물이성제압、선전시탈상급고온작상,차감소술중출혈량,학보척주적은정,피면술후동통,능충분체도미창적수술효과.
Objective To explore the application of utrasonic technology-assited microsurgery resection of ventral or ventrolateral spinal schwannomas.Methods Forty patients with ventral or ventrolateral spinal schwannomas were treated by CUSA-assited microsurgery.Results The tumors were totally resected suc-cessfully acompanied by minimal blood loss and adjacent structures could avoid damaged.Preoperative and postoperative magnetic resonance imaging demonstrated complete resection in all cases.Neurological func-tions had good recovery.With follow-up of 3 months to 3 years,there was no instability of the spine or any recurrence.Conclusion utrasonic technology-assited microsurgery resection of ventral or ventrolateral spi-nal schwannomas by posterior approach appears a safe,efficient mini-invasive surgical approach,without mechanical or heat injury.
