CAJ | 학술논문

目的探讨哑铃形椎管肿瘤的分型和显微外科手术方法和技巧.方法回顾分析1996年1月至2006年12月收治的56例哑铃形椎管肿瘤,根据MRI检杳结果及肿瘤大小,提出哑铃形椎管肿瘤的分型方法.结果全部病例均一期手术,单纯后正中切口34例,辅助切口12例,经胸联合切口lO例;行椎体脊柱固定+植骨3例.肿瘤全切除51例,次伞切除3例,大部分切除2例,无手术死亡,术后患者临床症状均不同程度改善.结论将椎管哑铃形肿瘤进行合理分型,对手术入路的选择具有明显的临床指导价值.显微手术技术对于提高哑铃形椎管肿瘤全切除率、减少手术损伤至关重要.
목적 탐토아령형추관종류적분형화현미외과수술방법화기교.방법 회고분석1996년1월지2006년12월수치적56례아령형추관종류,근거MRI검묘결과급종류대소,제출아령형추관종류적분형방법.결과 전부병례균일기수술,단순후정중절구34례,보조절구12례,경흉연합절구lO례;행추체척주고정+식골3례.종류전절제51례,차산절제3례,대부분절제2례,무수술사망,술후환자림상증상균불동정도개선.결론 장추관아령형종류진행합리분형,대수술입로적선택구유명현적림상지도개치.현미수술기술대우제고아령형추관종류전절제솔、감소수술손상지관중요.
Objective To discuss the classification and microsurgical resection of dumbbell spinal tumors with beth intracanalicular and extracanalicular extension. This clinical data was reviewed to analyze microsurgical approaches,technique and postoperative management. Methods Fifty-six patients underwent microsurgical resection of dumbbell spinal tumors. The tumors comprised mostly Schwannoma (84%,47/56) and meningioma (9%,5/56) in our group. According to the results of MRI and the volume of dumbbell spinal tumors,we divided to the dumbbell spinal tumors into four types. Results Total tumor removal was achieved in 51 patients (91%),subtotal in 3 patients,and partial in 2 patient. No patients died after operation and clinical symptoms were improved in all patients except 2 metastatic tumor.Conclusions It is important to classify the dumbbell spinal tumor into the reasonable type for the purpose of choose a appropriate surgical approach. Microsurgical techniques can raise the rate of total tumor removal and reduce disability of patients.