摘要
目的：探讨腰椎动脉瘤样骨囊肿（aneurysmal bone cyst,ABC）的诊断及外科治疗方法。方法：术前常规辅以选择性动脉栓塞。涉及后段结构2例,经后路行后段结构切除＋后路椎弓根系统内固定;涉及前段结构2例,经前路行前段结构切除＋钛网及侧方钛板内固定;4例同时涉及前后段患者则行一期联合前后路手术。结果：随访时间2-4年,平均3.1年。临床和影响学显示,患者无复发或任何不适。8例患者中优7例,良1例。结论：病灶经选择性动脉栓塞,彻底切除及腰椎固定融合术联合治疗。治疗方案应该首选手术治疗,并争取对原发灶达到彻底切除,以防止局部复发。
OBJECTIVE： To evaluate the diagnostic and therapeutic options and surgical treatment outcome in patients with aneurysmal bone cysts of the lumbar spine. METHODS： The eight cases presented with clinical evidence of chronic and progressive neurological deterioration. Of the 8 lesions, 2 involved only the anterior component which was treated by anterior segmental arthrodesis with instrumentation, 2 only the posterior component which was treated by posterior resection ＋ fusion （instrumentation）, and 4 both posterior and anterior components which was treated by combined anterior and posterior resection＋ fusion （instrumentation）. RESULTS： The mean follow-up time was 3. 1 years. According to the clinical and radiological evidence, an excellent and good post-operative outcome was got. CONCLUSION： The selective arterial embolization, complete excision with lumbar spine reconstruction and stabilization in patients with a neurological deficit give satisfactory results.
出处
《中华肿瘤防治杂志》
CAS
2007年第20期1580-1582,共3页
Chinese Journal of Cancer Prevention and Treatment
关键词
腰椎/外科学
骨囊肿
动脉瘤样
脊柱疾病
lumbar vertebrae/surgery
bone cyst,aneurysmal
spinal diseases
