向骨外生长引起脊髓压迫症状的胸椎血管瘤的手术治疗

目的:评价手术治疗向骨外生长的胸椎血管瘤并脊髓压迫症的效果。方法:回顾性总结5例胸椎血管瘤并向骨外生长压迫脊髓引起神经功能障碍患者的治疗方法和治疗近、远期效果。5例均采用前路病椎切除和椎管内血管瘤切除及植骨融合内固定的治疗方法。2例术后1月行放射治疗2个疗程，3例未加其他治疗。结果:5例术后神经压迫症状均消失，随访1~4年，未见肿瘤复发，植骨均融合，内固定未见松动断裂。术中失血为1000~1500mL。结论:向骨外生长的胸椎椎体血管瘤合并胸脊髓压迫症时，手术切除肿瘤及胸椎重建具有可靠而持久的疗效。

Surgical treatment of thoracic vertebral angioma with extraosseousextension causing spinal cord compression

OBJECTIVE: To evaluate the therapeutical effect of surgical treatment for thoracic angioma with extraosseous extension which causes spinal cord compression and neurological dysfunction. METHODS: We retrospectively analyzed 5 cases of thoracic vertebral body angioma with extraosseous extension and spinal cord compression. The operation were performed through anterior approach to resect the involved vertebral body and intracanal angioma in 5 patients. Bone graft and internal fixation were also completed in the meantime. Two patients accepted radiotherapy for 2 periods of treatment postoperatively, and the other 3 patients didn't accept the other supportive therapy. RESULTS: The blood loss during the operation was 1000 mL to 1500 mL. All the patients recovered their neurological function rapidly after the operation. The patients were followed up for 1 to 4 years, and no patient recurred. The bone graft was solidly fused in all patients. No hardware failure occurred. CONCLUSION: The surgical treatment for thoracic vertebral body and extraosseous angioma with spinal cord compression is effective, reliable, and workable. Good long-term result can be obtained.