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椎管内肿瘤的诊断及微创手术
引用本文:谢开友,任长乐.椎管内肿瘤的诊断及微创手术[J].中国现代医生,2008,46(9):16-18.
作者姓名:谢开友  任长乐
作者单位:1. 辽宁省大连市旅顺口区医院神经外科,辽宁大连,116000
2. 辽宁省大连市中心医院骨外科,辽宁大连,116041
摘    要:目的探讨椎管内肿瘤的诊断及显微治疗技术。方法回顾性分析2001~2007年经手术切除病理证实的椎管内肿瘤62例的临床资料。均行半椎板入路肿瘤切除。结果半椎板切除患者手术住院时间明显缩短,术后起床反应轻微,对脊柱的稳定性影响小。结论MRI是椎管内肿瘤最佳的诊断方法;显微外科技术可提高肿瘤全切除率,减少手术并发症,有利于脊柱稳定性的维持。

关 键 词:椎管内肿瘤  诊断  微创手术
文章编号:1673-9701(2008)09-16-03
修稿时间:2007年12月18

Diagnosis and Microsurgical Treatment of Intraspinal Tumors
Authors:XIE Kaiyou  REN Changle
Institution:XIE Kaiyou,REN Changle(1.Department of Neurosurgery, Lvshun Hospital of Dalian, Dalian 116000; 2.Department of Orthopedics, Municipal Center Hospital of Dalian, Dalian 116041)
Abstract:Objective To explore the diagnosis and microsurgical treatment of the intraspinal tumors. Methods The clinical data of sixty-two cases of the intraspinal tumors treated by microsurgery from 2001 to 2007,were analyzed respectively. All the tumors were proved retrospectively by surgery and pathological examination. All eases were unilateral hemilamineetomy. Resnlts The patients performed by hemilaminectomy recovered faster,and had shorter hospitalization time,slighter reactions after operation,the long-term outcome was better. Conclusion MRI of spinal column can provide important information for the diagnosis of intraspinal tumors. Mierosurgieal technique can increase the rate of total removal of the tumor, decrease operative complications. It is beneficial for the stability of spine.
Keywords:Intraspinal tumors  Diagnosis  Mierosurgery
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