摘要
目的探讨半椎板切除在上颈段椎管内神经鞘瘤手术中的应用效果。方法回顾性分析2005~2015年手术治疗的15例上颈段椎管内神经鞘瘤的临床资料,术中均采用半椎板切除+颈枕融合内固定术。结果 15例肿瘤均全切除。术后随访3~20个月,10例症状明显改善,4例部分改善,1例无改善;复查CT及MRI肿瘤无复发,无颈椎畸形。结论半椎板切除对上颈段椎管内神经鞘瘤的暴露及切除程度均较满意;术中应用合理的内固定方式,有助于确保颈枕部稳定性;术后患者恢复快,效果满意。
Objective To explore the therapeutic effect of surgery through hemilaminectomy approach on upper cervical spine neurinoma. Method The clinical data of 15 patients with upper cervical spine neurinomas undergoing surgery through hemilaminectomy from 2005 to 2015 were analyzed retrospectively. Results The tumors were totally removed in all the patients. The following-up of 3 to 20 months showed that symptoms were significantly improved in 10 patients, partly in 4 and unchanged in 1. The postoperative CT and MRI showed that no tumor recurred and there were no cervical spine deformities in all the patients. Conclusion The surgery through hemilaminectomy approach for upper cervical spine neurinomas is simple and safe, and of merits including satisfactory resection of the tumor, less operative side-injury and patients＇ rapid recovery.
出处
《中国临床神经外科杂志》
2017年第3期145-148,共4页
Chinese Journal of Clinical Neurosurgery
