摘要
目的分析颈段椎管内外哑铃型肿瘤不同手术方式对患者神经功能恢复及术后并发症的影响。方法回顾性分析2007-03—2012-03收治的89例颈段椎管内外哑铃型肿瘤患者,根据手术方式分为研究组和对照组,对照组44例采取分期或联合入路方式切除肿瘤;研究组45例采用一期显微手术后正中入路经瘤颈扭转娩出法切除肿瘤。比较2组患者术后1周、3个月、6个月及12个月的神经功能恢复情况、椎管狭窄处脊髓面积及并发症发生率。结果 (1)术后第1周末,2组患者神经功能差异无统计学意义(P>0.05);术后3、6个月末,2组神经功能恢复情况差异有统计学意义(P<0.05)。(2)2组患者术后1周和3个月的脊髓面积差异有统计学意义(P>0.05);研究组术后6、12个月末的脊髓面积分别为(199.77±32.73)mm2、(189.98±33.76)mm2,对照组分别为(146.37±39.32)mm2、(139.72±37.98)mm2,2组差异有统计学意义(t=5.068,P<0.05;t=6.311,P<0.05)。(3)2组患者术后1周末,成角畸形和脊柱不稳的发生率差异无统计学意义(P>0.05);研究组3、6、12个月末的成角畸形发生率分别为4.44%、11.11%、15.55%,对照组分别为15.91%、29.55%、59.09%,2组比较差异有统计学意义(P<0.05);研究组3、6、12个月末的脊柱不稳发生率分别为6.67%、15.55%、20.00%,对照组分别为25.00%、52.27%、75.00%,2组比较差异有统计学意义(P<0.05)。结论对于颈段椎管内外哑铃型肿瘤患者而言,采取一期显微手术切除肿瘤,能够改善患者术后神经功能恢复程度,并降低术后并发症的发生率,临床效果较佳,值得进一步推广。
Objective To analyze the effect of different operative methods treating cervical spinal dumbbell tumors on the neurological function recovery and postoperative complications of patients, and provide the practical guidance for clinic. Meth- ods Eighty-nine patients with cervical spinal dumbbell tumors from 2007 MarcI~ to 2012 March were retrospectively analyzed and divided into the study group and the control group according to different ways of operation. The control group （44 cases） was treated by the phased approach or the combined resection of tumor~ the study group （45 cases） was treated by one stage posterior median approach microsurgical operation of aneurysm neck torsion method of resection of tumor. The recovery of neu- rological function, spinal stenosis spinal cord area and incidence o{ complications in two groups were comparea at me po^t~）pc^u- tive 1 week, 3 month, 6 month and 12 month. Results At the end of postoperative 3 months and 6 months, the recovery of neurological {unction in the study group was better than that in the control group. At the end of postoperative 6 month and 12 month, the spinal stenosis spinal cord area in the study group was higher than that in the control group. At the end of postop- erative 3 months, 6 months and 12 months, the angular deformity incidence in the study group was lower than that in the con- trol group. Conclusion Patients with cervical spinal dumbbell tumors treated bymicroscopic operation can improve the recovery onerve function, and reduce the incidence of postoperative complications.
出处
《中国实用神经疾病杂志》
2013年第15期11-13,共3页
Chinese Journal of Practical Nervous Diseases
关键词
颈段椎管肿瘤
手术方式
并发症
Cervical intraspinal tumorl Operation model Complications
