CAJ | 학술논문

目的：观察后方韧带复合体回植重建椎管内肿瘤切除术后的脊柱稳定性。方法回顾性分析总结我科2008年7月至2013年7月43例确诊为椎管内肿瘤患者的临床资料,43例患者均采用微型钛板对游离的椎板进行固定。观察患者术后有无并发症,术后6个月X线、CT影像学复查截骨断面是否愈合、椎管宽度是否良好。结果手术时间130~220 min,平均150 min。失血量200~750 mL,平均340 mL。术后随访6~42个月,所有病例术后未出现医源性脊髓损伤,未出现动脉损伤、脊髓损伤、脊神经根局部异常积液等并发症,术后动力位片显示棘突椎板回植术后脊柱活动度基本得以保留。结论微型钛板固定通过回植后方韧带复合体可恢复脊柱的稳定性,在治疗椎管内肿瘤方面具有良好的优越性和临床可行性。
목적：관찰후방인대복합체회식중건추관내종류절제술후적척주은정성。방법회고성분석총결아과2008년7월지2013년7월43례학진위추관내종류환자적림상자료,43례환자균채용미형태판대유리적추판진행고정。관찰환자술후유무병발증,술후6개월X선、CT영상학복사절골단면시부유합、추관관도시부량호。결과수술시간130~220 min,평균150 min。실혈량200~750 mL,평균340 mL。술후수방6~42개월,소유병례술후미출현의원성척수손상,미출현동맥손상、척수손상、척신경근국부이상적액등병발증,술후동력위편현시극돌추판회식술후척주활동도기본득이보류。결론미형태판고정통과회식후방인대복합체가회복척주적은정성,재치료추관내종류방면구유량호적우월성화림상가행성。
Objective To observe the spinal stability of regrafting the posterior ligamentous complex after spinal canal tumor resection. Methods The data of 43 cases with spinal canal tumor in our department from July 2008 to July 2013 were retrospectively analyzed,who were fixed the free of the lamina by mini titanium-plate. Results The operation time was 130 to 220 min,the average time was 150 min. The blood loss volume was 200 to 750 mL,with average volume 340 mL. All patients were followed up for 6 to 42 months. No iatrogenic spinal cord injury nor complications such as artery injury,spinal cord and spinal nerve root local anomalies hydrops occurred. By Flexion-extension radio-graphs,regrafting of the posterior ligamentous complex after the resection of spinal cord tumors preserved spinal mobility well. Conclusion The mini titanium-plate fixation treatment of spinal canal tumor has good superiority and clinical feasibility by regrafting the posterior ligamen-tous complex and reconstructing the spinal stability.