颈椎管哑铃状肿瘤的手术治疗

目的:探讨颈椎管哑铃状肿瘤的手术治疗。方法:回顾性分析36例颈椎管哑铃状肿瘤的临床症状、外科分类分期及手术方法。结果:35例肿瘤完全切除,1例次全切,患者的症状和体征均有不同程度改善,无明显并发症,肿瘤无复发。结论:根据哑铃状肿瘤的分类分期,选择后路或前后路联合的手术方法,并同时行后路内固定植骨融合术,能获得较高的肿瘤切除率,并能较好地预防近期和远期并发症。

Surgical treatment for cervical dumbbell tumors

ObjectiveTo investigate the surgical treatment for cervical dumbbell tumors.MethodsClinical manifestation, surgical type and stage, and surgical method of 36 consecutive patients with cervical dumbbell tumor were retrospectively studied.ResultsThe tumors in 35 patients were completely resected once, and the other one patient underwent subtotal resection. Signs and symptoms of all patients were recovered to different degrees, without significant complications and tumor recurrence.ConclusionAccording to the type and stage of dumbbell tumors, we could adopt surgical methods through posterior or posterior combined with anterior approach, together with instruments and fusion, which could completely resect tumors and prevent complications.