中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2014年
7期
686-689
,共4页
金铂%苏亦兵%张岩%王汉斌%王科大
金鉑%囌亦兵%張巖%王漢斌%王科大
금박%소역병%장암%왕한빈%왕과대
椎管%蛛网膜囊肿%铣刀%椎板成形术
椎管%蛛網膜囊腫%鐉刀%椎闆成形術
추관%주망막낭종%선도%추판성형술
Spinal canal%Arachnoid cyst%Craniotome%Laminoplasty
目的 探讨椎板成形术在椎管内硬膜外蛛网膜囊肿(SEAC)外科治疗中的意义.方法 回顾性分析24例SEAC患者,患者分为非椎板成型组(A组)及椎板成型组(B组).对比两组患者的手术时间、手术出血量、术前及术后患者JOA评分以及神经功能恢复率、术前及术后脊柱Kyphotic角度等.结果 B组的手术出血量为(111.1 ±48.6) ml,显著少于A组(513.3±131.6) ml(t=-8.755,P=0.000).B组的手术时间为(45.4 ±5.3)min,显著短于A组(89.8±19.1)min(t=-8.443,P=0.000).B组术后Kyphotic角度为6.8°±1.2°,显著小于A组10.1°±1.2°(t=-6.388,P=0.000).而两组的术前Kyphotic角度、术前JOA评分、术后JOA评分和神经功能恢复率差异均无统计学意义(P＞0.05).结论 以铣刀为基础的椎板成形术治疗SEAC,效果良好并能减少术后并发症,是安全、快捷的方法之一.
目的 探討椎闆成形術在椎管內硬膜外蛛網膜囊腫(SEAC)外科治療中的意義.方法 迴顧性分析24例SEAC患者,患者分為非椎闆成型組(A組)及椎闆成型組(B組).對比兩組患者的手術時間、手術齣血量、術前及術後患者JOA評分以及神經功能恢複率、術前及術後脊柱Kyphotic角度等.結果 B組的手術齣血量為(111.1 ±48.6) ml,顯著少于A組(513.3±131.6) ml(t=-8.755,P=0.000).B組的手術時間為(45.4 ±5.3)min,顯著短于A組(89.8±19.1)min(t=-8.443,P=0.000).B組術後Kyphotic角度為6.8°±1.2°,顯著小于A組10.1°±1.2°(t=-6.388,P=0.000).而兩組的術前Kyphotic角度、術前JOA評分、術後JOA評分和神經功能恢複率差異均無統計學意義(P＞0.05).結論 以鐉刀為基礎的椎闆成形術治療SEAC,效果良好併能減少術後併髮癥,是安全、快捷的方法之一.
목적 탐토추판성형술재추관내경막외주망막낭종(SEAC)외과치료중적의의.방법 회고성분석24례SEAC환자,환자분위비추판성형조(A조)급추판성형조(B조).대비량조환자적수술시간、수술출혈량、술전급술후환자JOA평분이급신경공능회복솔、술전급술후척주Kyphotic각도등.결과 B조적수술출혈량위(111.1 ±48.6) ml,현저소우A조(513.3±131.6) ml(t=-8.755,P=0.000).B조적수술시간위(45.4 ±5.3)min,현저단우A조(89.8±19.1)min(t=-8.443,P=0.000).B조술후Kyphotic각도위6.8°±1.2°,현저소우A조10.1°±1.2°(t=-6.388,P=0.000).이량조적술전Kyphotic각도、술전JOA평분、술후JOA평분화신경공능회복솔차이균무통계학의의(P＞0.05).결론 이선도위기출적추판성형술치료SEAC,효과량호병능감소술후병발증,시안전、쾌첩적방법지일.
Objective To explore the significance of laminoplasty in the surgical treatment of spinal extradural arachnoid cyst (SEAC).Methods 24 patients with SEAC,who were admitted and operated in the department of neurosurgery in Beijing Jishuitan hospital from May 2011 to June 2013 were retrospectively analyzed.According to the different surgical methods,all the patients were divided into two groups:non-laminoplasty group (group A) and laminoplasty group (group B).The data of patients in each group involving operative time,blood loss,preoperative and postoperative JOA scores and neurological function recovery rate,preoperative and postoperative spine Kyphotic angle were analyzed retrospectively.Results The surgical bleeding in group B was (111.1 ± 48.6) ml,which was significantly less than the (513.3± 131.6)ml in group A (t =-8.755,P =0.000).The operative duration time in group B was (45.4 ± 5.3) rman,which was significantly shorter than the (89.8 ± 19.1) min in group A (t =-8.443,P =0.000).The group B Kyphotic angle of 6.8° ± 1.2°was significantly lower than the 10.1° ± 1.2°in group A (t =-6.388,P =0.000).There was no statistical difference of the data of Kyphotic angle,preoperative JOA score,postoperative JOA score and the neurological recovery rate between two groups(t =-8.443,P ＞ 0.05).Conclusions Laminoplasty with craniotome was an effective and safe method with low recurrence for the treatment of SEAC.
