摘要
目的 :探讨颈胸段脊柱肿瘤前路不同手术入路、肿瘤切除和重建术式。方法 :总结我院自 1998年 1月～2 0 0 0年 12月收治 31例颈胸段脊柱肿瘤的临床表现、各种手术途径、术式及其预后。结果 :术后随访 3～ 36个月 ,30例患者术后神经功能均有所改善。 2例转移性腺癌患者分别于术后 13个月和 16个月因全身多处转移 ,全身衰竭死亡。 2例患者分别于术后 8、13个月局部复发。结论 :应根据肿瘤的部位、范围选择相应的手术途径、肿瘤切除术式和前路重建方法。
Objective:To investigate the means of different anterior surgical approaches of cervicothoracic spine,tumors excision procedure and reconstruction.Methods:The clinical manifestation of tumors,different operative approaches,surgical procedure and prognosis of 31 cases from Jan.1998 to Dec.2000 were reported.Results:The following up period were from 3 to 36 months.The recent postoperative surgical outcome were satisfactory in all cases.Spinal cord neurological function improved in 30 cases with different degrees.2 cases with metastatic gland ular cancer(at C6-C7orT 1)died of metastase in other multiple location,system failure in 13 or 16 months of postoperation respectively.Tumor focus of 2 cases recurred in 8 or 13 months respectively.Conclusion:The relative operative approach,surgical procedure and anterior reconstruction should be selected according to the tumors nature,location and range.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第8期743-745,共3页
Orthopedic Journal of China
关键词
颈胸段脊柱
肿瘤
治疗
外科手术
Cervicothoracic spine
Neoplasms
Operative treatment
