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目的探讨全椎板切开复位技术治疗脊髓肿瘤的应用价值。方法回顾性分析我院2010年9月~2012年6月显微外科手术治疗的脊髓肿瘤22例临床资料,采取全椎板切开技术,显微神经外科技术分离切除脊髓肿瘤,椎板复位并固定。结果 20例肿瘤全切,2例大部分切除。21例术后肌力及感觉障碍改善,1例术后肌力下降。术后3~6个月复查脊柱CT,显示手术节段局部椎板解剖复位良好,位置无下陷,切除的椎板与邻近椎板融合良好。结论椎板切开复位技术恢复了椎管解剖结构,保证脊柱的稳定性,防止脊髓肿瘤术后并发症的发生。
Objective To investigate the value of total laminectomy and reduction in the treatment of spinal cord tumors. Methods The clinical data of 22 cases of spinal cord tumors treated by microsurgery in our hospital from September 2010 to June 2012 were analyzed retrospectively. Total spinal debridement and resection of spinal cord were performed by total laminin dissection and microsurgical neurosurgery fixed. Results 20 cases of total tumor resection, 2 cases of most resection. 21 cases of postoperative muscle strength and sensory disturbances improved, 1 case of muscle strength decreased. Spine CT was performed 3 to 6 months after operation, which showed that the anatomical reduction of the local lamina was satisfactory and no subsidence was found in the surgical segment. The resected lamina fused well with the adjacent lamina. Conclusion The laminectomy and resection technique restored the spinal canal anatomy, ensured the stability of spinal column and prevented the postoperative complication of spinal cord tumor.