CAJ | 학술논문

目的探讨术前美蓝标记定位并照片在椎管内肿瘤手术中的应用价值。方法回顾性分析2010年9月至2012年9月我院收治的84例椎管内肿瘤患者的临床资料。依据患者是否采用美蓝标记定位椎管内肿瘤分为标记组和对照组。比较2组患者手术时间、术中出血、肿瘤全切率、脊柱不稳率、肿瘤复发率、再手术率。结果标记组患者手术时间显著短于对照组患者,术中出血显著少于对照组患者,P<0.05具有统计学意义；标记组患者肿瘤全切率显著高于对照组患者,P<0.05具有统计学意义。2组患者术后1年内脊柱不稳率、肿瘤复发率及再手术率上比较差异均无统计学意义。结论美蓝标记定位简单方便,为手术切除提供了有利条件,减少了手术时间及术中出血量,增加了肿瘤全切除率。
목적탐토술전미람표기정위병조편재추관내종류수술중적응용개치。방법회고성분석2010년9월지2012년9월아원수치적84례추관내종류환자적림상자료。의거환자시부채용미람표기정위추관내종류분위표기조화대조조。비교2조환자수술시간、술중출혈、종류전절솔、척주불은솔、종류복발솔、재수술솔。결과표기조환자수술시간현저단우대조조환자,술중출혈현저소우대조조환자,P<0.05구유통계학의의；표기조환자종류전절솔현저고우대조조환자,P<0.05구유통계학의의。2조환자술후1년내척주불은솔、종류복발솔급재수술솔상비교차이균무통계학의의。결론미람표기정위간단방편,위수술절제제공료유리조건,감소료수술시간급술중출혈량,증가료종류전절제솔。
Objective To explore the application value of preoperative methylene blue staining in locating for the operation of intraspi-nal tumors. Methods The clinical data of patients with intraspinal tumors from September 2010 to September 2012 in our hospital were ret-rospectively analyzed. The patients were divided into tag group and control group according to whether stained by methylene blue or not. The operation time( min) ,intraoperative hemorrhage,the rate of total resection of tumor,spinal instability rate,tumor recurrence rate,and reopera-tion rate of two groups were compared. Results The operation time of tag group was significantly shorter than that of the control group. The amount of intraoperative bleeding was significantly less than that of in control group, the differences were statistically significant(P<0. 05). The total resection rate of tumor was significantly higher than that in control group,the differences were statistically significant(P<0. 05). The spinal instability rate,tumor recurrence rate and operation rate of patients within 1 year in two groups were not significant. Conclusion The methylene blue method is simple and convenient,and provides favorable conditions for the operation,which reduces the operation time and intraoperative hemorrhage,increases the rate of complete tumor resection. There was no difference in recurrence rate,operation rate and the stability of the spine within 1 year compared to traditional method.