全脊柱整块切除技术在脊柱肿瘤中的应用

全脊柱整块切除技术是一种将脊柱肿瘤及其卫星病灶所在的间室整块切除的手术方式。既往研究表明,该术式能够降低脊柱肿瘤患者的术后复发率,但是手术适应证的选择尚不统一,而脊柱肿瘤外科分期与预期寿命评分系统的广泛应用,使其手术的适应证更加明确。但是,由于该手术具有出血多、难度大、风险高等特点,难以广泛的开展手术,而对TES技术的不断改良、内窥镜的应用以及3D打印人工椎体的出现,使得手术不断走向成熟。

Application of total en bloc spondylectomy in spinal tumors

Total en bloc spondylectomy is a surgical technique cutting off tumors of spine and its satellite. Previous studies have shown that this technique could reduce postoperative recurrence rate of spinal tumor,but surgical indications are not unified. Wide application of spinal tumor surgical staging and life expectancy system make it more clear for surgery. However,it is difficult to carry out extensive operation for the characteristics of more bleeding,great difficulty and high risk. As for continuous improvement of TES technology,application of endoscopy and appearance of 3D printing artificial vertebral body could push the operation becoming mature.