CAJ | 학술논문

　　目的探讨经半椎板锁孔显微手术治疗椎管内髓外良性肿瘤的手术技巧和适应证。方法对32例椎管内髓外良性肿瘤行经半椎板锁孔显微切除术，其中部分哑铃状肿瘤使用神经内镜辅助技术。结果32例肿瘤中全切除30例，大部分切除1例，近全切除1例，无手术死亡、致残及相关并发症。结论经半椎锁孔显微手术是治疗椎管内髓外良性肿瘤的微创治疗技术，恰当选择适应证、合理利用显微神经外科技术和神经内镜技术可帮助提高疗效。
　　목적탐토경반추판쇄공현미수술치료추관내수외량성종류적수술기교화괄응증。방법대32례추관내수외량성종류행경반추판쇄공현미절제술，기중부분아령상종류사용신경내경보조기술。결과32례종류중전절제30례，대부분절제1례，근전절제1례，무수술사망、치잔급상관병발증。결론경반추쇄공현미수술시치료추관내수외량성종류적미창치료기술，흡당선택괄응증、합리이용현미신경외과기술화신경내경기술가방조제고료효。
Objective To investigate the operation skills through hemilaminectomy keyhole operation treatment of intraspinal extramedullary benign tumor and indications. Methods The semi laminectomy keyhole, resection of 32 cases of intraspinal extramedullary benign tumor, which part of dumbbell tumors using neuroendoscope assisted technology. Results 32 cases of tumors were totally resected in 30 cases, subtotal resection in 1 cases, subtotal in 1 cases, no operation death, disability and related complications. Conclusion The half vertebral keyhole operation is the treatment of intraspinal extramedullary benign tumor minimally invasive technique,proper choice of indications, the rational use of microscope Department of neurosurgery and neuroendoscopic techniques can help to improve the curative effect.