摘要
目的:探讨利用后路一期全椎体切除加脊柱重建治疗腰骶段恶性肿瘤的可行性及临床应用价值。方法:分析2005年1月至2011年1月腰骶段恶性肿瘤患者17例,所有患者均采用后路一期全椎体切除加脊柱重建方式,术中后路先完整切除病椎,然后钛网植骨进行椎体重建,后路椎弓根钉内固定技术固定。对比观察实施手术前、后患者生活质量、疼痛评分、脊柱稳定性的改变。结果:16例患者获完整随访,1例失访,经X线及CT检查,16例患者均获得骨性融合,未见不融合及内固定断裂,脊柱稳定性好。结论:后路一期全椎体切除加脊柱重建治疗腰骶段恶性肿瘤能有效切除肿瘤、重建脊柱稳定性、提高病人生活质量。
Objective：To investigate the effects of the lumbosacral malignant tumors by posterior approach total corpectomy and spinal reconstruction at one-stage. Methods：17 patients with lumbosacral malignant tumor were cured by posterior approach total corpectomy and spinal reconstruction at one-stage from the January of 2005 to January of 2011. All the patients were cured by posterior approach total corpectomy,titanium mesh filled by iliac bone block with posterior pedicle screw system were used to reconstruct stabilility of spinal. The life quality, therapeutic response, stabilization of the vertebral column were compared between the groups of pre-treated and post-treated. Results：All the 16 patients were followed up with a mean period of 11.3 months, ranging from 3 to 24 months, one patient loss to follow-up. All the patients had bony union according to the X rays and CT scan, the stabilization of the vertebral column is stabile. The group of pre-treated and post-treated showed significant changes in score of the pain of the bone（P〈0.05,t=1.32）and the life quality（P〈0.05,t=4.11）. The score of the pain of the bone of pre-treated（17.4±5.9） and post-treated （4.7±1.1）showed significant changes（P〈0.05,t=1.32）. Conclusion： Treatment of lumbosacral malignant tumor by posterior approach total corpectomy and spinal reconstruction at one-stage can remove the neoplasms efficiently, reconstraction the spinal stabilization and improve the quality of life.
出处
《中国医药导刊》
2013年第4期558-559,共2页
Chinese Journal of Medicinal Guide
关键词
腰骶段恶性肿瘤
全椎体切除
脊柱重建
Lumbosacral malignant tumor Total corpectomy Spinal reconstruction
