CAJ | 학술논문

目的探讨椎管内肿瘤的不同手术方式及远期效果.方法回顾分析423例椎管内肿瘤临床资料并进行随访分析,评估不同术式的临床效果.结果有效随访的205例:采用后正中入路全椎板切除术135例,其中有7例由于术后骨性结构缺失而出现脊柱退变加剧,2例术后肿瘤复发,2例出现下肢疼痛麻木;后正中入路全椎板切除+椎板棘突复合体复位重建手术45例,随访未见不适;后正中入路全椎板切除+钉棒系统内固定手术20例,1例术后出现下肢牵扯样疼痛,持续2个月后逐渐缓解;半椎板切除手术5例,术后痊愈.结论手术为首选治疗策略,以保全患者神经功能及脊柱的稳定性为主要目标,行个体化治疗,以达到最好的治疗效果.
목적 탐토추관내종류적불동수술방식급원기효과.방법 회고분석423례추관내종류림상자료병진행수방분석,평고불동술식적림상효과.결과 유효수방적205례:채용후정중입로전추판절제술135례,기중유7례유우술후골성결구결실이출현척주퇴변가극,2례술후종류복발,2례출현하지동통마목;후정중입로전추판절제+추판극돌복합체복위중건수술45례,수방미견불괄;후정중입로전추판절제+정봉계통내고정수술20례,1례술후출현하지견차양동통,지속2개월후축점완해;반추판절제수술5례,술후전유.결론 수술위수선치료책략,이보전환자신경공능급척주적은정성위주요목표,행개체화치료,이체도최호적치료효과.
Objective To discuss the operation approaches and long-term outcome of the intraspinal tumor.Methods To evaluate the clinical effect of different operative methods through a retrospective analysis of 423 cases of intraspinal tumors and follow-up analysis.Results 205 cases were with valid follow-up:135 cases were treated with the posterior median approach laminectomy,including 7 cases with postoperative bone structure deletion and spinal degeneration aggravated,2 cases recurred after operation,2 cases of lower limbs pain;45 cases with posterior median approach total laminectomy and lamina complex reduction and reconstruction operation,follow-up no discomfort; 20 cases with posterior median approach total laminectomy and pedicle screw internal fixation operation,including 1 cases of postoperative lower limbs dragging pain,gradually easing after two months; 5 cases with semi-laminectomy operation,postoperative recovery.Conclusions Operation is the preferred treatment strategy,and the main aim is to keep the preservation of neurological function and the stability of spine.Individual treatment should be preferred.