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上颈椎椎管内外哑铃形肿瘤的临床特点及外科治疗
引用本文:杨诚,马峻明,杨墨松,杨兴海,谢宁,严望军,肖建如.上颈椎椎管内外哑铃形肿瘤的临床特点及外科治疗[J].脊柱外科杂志,2008,6(4):203-205,213.
作者姓名:杨诚  马峻明  杨墨松  杨兴海  谢宁  严望军  肖建如
作者单位:第二军医大学附属长征医院骨科,上海200003
摘    要:目的探讨上颈椎椎管内外哑铃形肿瘤的临床特点及外科治疗方法。方法回顾性分析本院1999年1月。2007年5月收治的33例上颈椎椎管内外哑铃形肿瘤患者,经颈后外侧入路行肿瘤切除26例,前后联合入路行肿瘤切除7例;20例采用后路钉棒/钉板内固定系统重建,13例未行内固定。结果术后随访6个月~8年,平均18.3个月。多数患者症状改善明显,4例复发,其中2例再次手术。结论上颈椎椎管内外哑铃形肿瘤临床相对少见,手术风险较大。根据肿瘤部位、性质和分期制定合理的手术方案能提高肿瘤切除率,降低术后局部复发率和并发症的发生率。

关 键 词:颈椎  脊髓肿瘤  外科手术
收稿时间:2007/12/3 0:00:00

Clinical characteristics and surgical intervention of upper cervical dumbbell-shaped intra-extradural tumors
YANG Cheng,MA Junming,YANG Mosong,YANG Xinghai,XIE Ning,YAN Wangjun and XIAO Jianru.Clinical characteristics and surgical intervention of upper cervical dumbbell-shaped intra-extradural tumors[J].Journal of Spinal Surgery,2008,6(4):203-205,213.
Authors:YANG Cheng  MA Junming  YANG Mosong  YANG Xinghai  XIE Ning  YAN Wangjun and XIAO Jianru
Institution:Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai
Abstract:Objective To investigate the clinical characteristics and surgical intervention of upper cervical dumbbell-shaped intra-extradural tumors.Methods A retrospective review was made on 33 cases of upper cervical dumbbell-shaped intra-extradural tumors from Jan.1999 to May.2007.Resections were performed on 26 patients through posterior-lateral approach,7 patients through anterior-lateral combined with posterior-lateral approach.Posterior lateral mass screw internal fixation system were used in 20 cases,none fixa...
Keywords:Cervical vertebrae  Spinal neoplasms  
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