CAJ | 학술논문

目的探讨后正中入路、椎管重建术治疗C1～2椎管内肿瘤的方法及疗效. 方法泸州医学院附属医院神经外科自2007年1月至2011年12月共采用枕颈后正中入路显微切除切除术治疗C1～2椎管内肿瘤患者27例,分析总结患者的临床资料和手术效果. 结果本组所有肿瘤均得到全切,无手术死亡病例.术后病理诊断:神经鞘瘤21例,神经纤维瘤1例,脊膜瘤5例.随访6～48个月,1例患者生活可自理,其余26例患者均可正常工作生活.术后复查颈椎序列与术前无明显变化,未出现颈椎不稳和肿瘤复发. 结论后正中入路可作为切除C1～2椎管内肿瘤的首选入路,椎管重建术能很好的保持椎管的稳定性.
목적 탐토후정중입로、추관중건술치료C1～2추관내종류적방법급료효. 방법 로주의학원부속의원신경외과자2007년1월지2011년12월공채용침경후정중입로현미절제절제술치료C1～2추관내종류환자27례,분석총결환자적림상자료화수술효과. 결과 본조소유종류균득도전절,무수술사망병례.술후병리진단:신경초류21례,신경섬유류1례,척막류5례.수방6～48개월,1례환자생활가자리,기여26례환자균가정상공작생활.술후복사경추서렬여술전무명현변화,미출현경추불은화종류복발. 결론 후정중입로가작위절제C1～2추관내종류적수선입로,추관중건술능흔호적보지추관적은정성.
Objective To investigate the techniques and curative effects of laminoplasty via posternmedial approach in treating C1-2 instraspinal neoplasms.Methods Twenty-seven patients (15males and 12 females) with C1-2 instraspinal neoplasms,admitted to and performed laminoplasty via posternmedial approach in our hospital from January 2007 to December 2011,were chosen in our study.Their clinical data and treatment efficacy were summarized.Results Total excision was achieved in all patients,and no patient in this study died.Pathological diagnosis showed 21 having schwannoma,1 neurofibroma and 5 meningioma.Follow up for 6-48 months indicated that 1 patient could take care of himself and the other 26 patients could live normally.No cervical spine instability or tumor recurrence was found.Conclusion Posternmedial approach may be regarded as the first selection to resect C1-2instraspinal neoplasms; laminoplasty can keep the stability of spine.