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小切口半椎板技术切除椎管内肿瘤(附17例分析) 被引量:10

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摘要 目的探讨利用小切口半椎板技术切除椎管内肿瘤的临床经验。方法回顾性分析利用小切口半椎板技术切除椎管内肿瘤17例,其中神经鞘瘤11例,脊膜瘤5例,硬膜外海绵状血管瘤1例。肿瘤位于颅颈交界区2例,颈段8例,胸段5例,腰段2例。皮肤切口(5~6cm)以能够显露肿瘤相对应的椎板为原则,同侧半椎板切除及肿瘤切除采用标准的显微外科技术。结果16例肿瘤全切除,1例大部分切除。2例病人因肿瘤所属的神经根切断出现相应肌肉运动障碍,随访2~10个月,其中1例完全恢复,另1例恢复不完全,其他病人未见术后脊柱畸形或活动障碍。结论对于椎管内髓外的良性肿瘤,小切口半椎板技术手术创伤小,肿瘤切除顺利,手术后恢复快。
出处 《中国微侵袭神经外科杂志》 CAS 2007年第2期89-90,共2页 Chinese Journal of Minimally Invasive Neurosurgery
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