颈胸段椎体肿瘤的前路手术治疗

目的 探讨颈胸段椎体肿瘤的前路不同手术入路、肿瘤切除和重建方法。方法 总结我院自1999年3月至2002年5月收治的7例颈胸段椎体肿瘤的临床表现、手术入路、术式及其预后。结果 术后随访3－28个月，7例患者术后神经功能均明显改善。1例血管肉瘤和2例转移性腺癌患者分别于术后3、8、13个月因全身多处转移、衰竭死亡。暂未发现局部复发病例。结论 应根据肿瘤的部位、性质选择相应的手术途径、肿瘤切除术式和前路重建方法。

Anterior approach operation for the treatment of cervicothoracic vertebral tumors

Objective To investigate the means of different anterior surgical approaches for cervicothoracic vertebral tumors, tumor excision procedure and reconstruction. Methods The clinical manifestation of tumors, different operative approaches, surgical procedures and prognosis of 7 cases admitted in our hospital from March, 1999 to May, 2002 were reported. Results After a follow up of 3 to 28 months, neurological function was improved significantly in all cases. One case with angiosarcoma and 2 cases with metastatic adenocarcinoma (C7, C6 7, T1) died of metastasis in other multiple locations and system failure in 3, 8 and 13 months after surgery respectively. No recurrent tumor focus was found at the operative sites during the follow up period. Conclusion The operative approach, surgical procedure and cervicothoracic spine anterior reconstruction should be selected according to the nature and location of tumors.