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目的:探讨半椎板入路显微外科切除椎管内肿瘤的可行性和安全性。方法:回顾性分析我院33例椎管内肿瘤经半椎板入路,显微外科切除椎管内肿瘤的方法。结果:椎管内肿瘤33例,其中肿瘤全切32例,近全切除1例。无手术死亡,2例创腔积液,3例轻度脑脊液漏,经局部处理愈合。结论:经半椎板入路行椎管内肿瘤切除术,能充分暴露肿瘤,并在显微镜下安全切除肿瘤,并发症少,患者恢复快,适用于各级医院开展。
Objective: To investigate the feasibility and safety of microsurgical resection of tumors in the spinal canal by semi-laminar approach. Methods: A retrospective analysis of 33 cases of spinal canal tumors in our hospital by the semi-lamina approach, microsurgical removal of spinal canal tumor method. Results: 33 cases of spinal canal tumor, of which 32 cases of complete resection of the tumor, near total resection in 1 case. No operative death, 2 cases of fluid accumulation, 3 cases of mild cerebrospinal fluid leakage, the local treatment healed. Conclusion: The resection of the spinal canal by the semi-laminar approach can fully expose the tumor and safely remove the tumor under the microscope with fewer complications and rapid recovery. It is suitable for hospitals at all levels.