CAJ | 학술논문

【目的】探讨经椎板切开成形术切除椎管内肿瘤的临床经验。【方法】2010年6月至2013年6月采用后路椎板切开椎管内肿瘤切除后椎板复位成形术治疗16例椎管内肿瘤患者，16例均平均随访12个月，回顾性对比研究手术前后患者神经功能的变化情况。【结果】16例患者13例肿瘤全切，3例次全切除，术后神经根性疼痛均在1周内好转，肢体、躯干运动感觉障碍在3个月内逐渐改善。3例括约肌功能障碍患者中2例在半年内明显改善，1例改善不明显。所有患者均获得门诊随访，随访时间平均12个月。经M RI检查均未见肿瘤复发。2例患者因术中脊髓神经根牵拉术后出现单侧下肢无力，随访半年后1例恢复良好，1例无明显改善，未出现其他并发症。【结论】后路椎板成形治疗椎管内肿瘤安全可靠，疗效满意。
【목적】탐토경추판절개성형술절제추관내종류적림상경험。【방법】2010년6월지2013년6월채용후로추판절개추관내종류절제후추판복위성형술치료16례추관내종류환자，16례균평균수방12개월，회고성대비연구수술전후환자신경공능적변화정황。【결과】16례환자13례종류전절，3례차전절제，술후신경근성동통균재1주내호전，지체、구간운동감각장애재3개월내축점개선。3례괄약기공능장애환자중2례재반년내명현개선，1례개선불명현。소유환자균획득문진수방，수방시간평균12개월。경M RI검사균미견종류복발。2례환자인술중척수신경근견랍술후출현단측하지무력，수방반년후1례회복량호，1례무명현개선，미출현기타병발증。【결론】후로추판성형치료추관내종류안전가고，료효만의。
To explore clinical experience of laminectomy for the removal of intraspinal tumor .[Methods] Sixteen patients with intraspinal tumor from June 2010 to June 2013 underwent laminoplasty after posterior laminectomy for the removal of intraspinal tumor .All patients were followed up for average 12 months .The change of neurological function of patients before and after operation was compared retrospective-ly .[Results] Of 16 patients ,13 patients underwent total resection and 3 patients underwent subtotal resec-tion .Nerve root pain after operation was recovered within 1 week .Limb and body motor sensory disorder were gradually improved within 3 months .Of 3 patients with sphincter dysfunction ,2 patients were obviously improved within half a year ,and 1 patient had no obvious improvement of sphincter dysfunction .All patients were followed up in clinic services .The average follow up time was 12 months .MRI showed no tumor recur-rence .Among 2 patients with unilateral low limb weakness due to intraoperative spinal root drag ,1 patient re-covered well after half a year of follow up ,and 1 patient had no obvious improvement .No other complications occurred .[Conclusion]Posterior laminectomy for the treatment of intraspinal tumor is safe ,reliable and satis-f ied .