CAJ | 학술논문

目的探讨经颈前入路手术治疗侵犯椎体及其附件的颈椎椎管内哑铃形肿瘤的可行性及其疗效.方法 2004年5月至2009年2月,采用颈前方入路治疗此类巨大颈椎管哑铃形肿瘤7例,分析其临床特点、影像学特征、手术及植骨内固定的方法与治疗结果等.结果经6 ～ 46个月随访,7例患者肿瘤完全切除,随访期间肿瘤无复发,术后症状明显改善,植骨均愈合良好,无钛板松动及颈椎不稳情况发生.结论合并椎体及横突破坏的巨大颈椎管哑铃形肿瘤,经前路手术可在一期完全切除肿瘤的同时恢复脊柱的稳定性,是治疗此种疾患的较佳选择.
목적 탐토경경전입로수술치료침범추체급기부건적경추추관내아령형종류적가행성급기료효.방법 2004년5월지2009년2월,채용경전방입로치료차류거대경추관아령형종류7례,분석기림상특점、영상학특정、수술급식골내고정적방법여치료결과등.결과 경6 ～ 46개월수방,7례환자종류완전절제,수방기간종류무복발,술후증상명현개선,식골균유합량호,무태판송동급경추불은정황발생.결론 합병추체급횡돌파배적거대경추관아령형종류,경전로수술가재일기완전절제종류적동시회복척주적은정성,시치료차충질환적교가선택.
Objective To explore the feasibility and efficacy of operating through an anterior approach in the treatment of dumbbell tumor complicating with vertebral destruction in cervical spine.Methods Surgical procedures were performed through an anterior approach in 7 cases of dumbbell tumor complicating with vertebral and transverse process destruction during the period of May 2004 to February 2009.Bone graft and internal fixation were implemented after tumor removal.Results In all 7 cases,tumors were resected completely and no recurrence occurred during a follow-up period of 6-46 months.The symptoms improved greatly postoperatively with fine fusion of graft bone.There was neither loose plate nor cervical instability.Conclusion For huge dumbbell tumor with damaged vertebral body and transverse process in cervical spine,the anterior approach operation will remove tumor entirely and restore the stability of cervical spine so as to prevent spinal cord injury.It is an excellent option of treating dumbbell tumor in cervical spine.