[1]谢京城* 陈晓东 杨军.微创半椎板入路切除颈椎管内脊髓腹侧肿瘤[J].中国微创外科杂志,2020,01(9):780-783.
　Xie Jingcheng,Chen Xiaodong,Yang Jun..Limited Unilateral Laminectomy Approach for Microsurgical Resection of Cervical Intraspinal Neoplasms Ventral to the Spinal Cord[J].Chinese Journal of Minimally Invasive Surgery,2020,01(9):780-783.
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微创半椎板入路切除颈椎管内脊髓腹侧肿瘤()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年9期
页码:
780-783
栏目:
临床研究
出版日期:
2020-09-25

文章信息/Info

Title:
Limited Unilateral Laminectomy Approach for Microsurgical Resection of Cervical Intraspinal Neoplasms Ventral to the Spinal Cord
作者:
谢京城* 陈晓东 杨军
(北京大学第三医院神经外科北京大学医学部精准神经外科与肿瘤研究中心，北京100191)
Author(s):
Xie Jingcheng;  Chen Xiaodong;  Yang Jun.
Department of Neurosurgery, Peking University Third Hospital; Center for Precision Neurosurgery and Oncology, Peking University Health Science Center, Beijing 100191, China
关键词:
脊髓肿瘤; 椎板切除术; 显微外科手术
Keywords:
Spinal cord tumor; Laminectomy; Microsurgery
文献标志码:
A
摘要:
目的探讨微创半椎板入路切除颈椎管内脊髓腹侧肿瘤的手术效果。方法2007年7月~2019年6月，对36例颈椎管内脊髓腹侧肿瘤，在保持项韧带、棘上韧带及棘间韧带完整的基础上，经后路行半椎板显露、切除，显微镜下切除肿瘤。结果36例椎管内肿瘤均获全切，手术时间90~246 min，平均120 min；出血量90~600 ml,平均200 ml；无手术并发症。术后住院时间3~9 d,平均6 d。术后病理：神经鞘瘤23例，脊膜瘤11例，肠源性囊肿2例。36例随访6个月~10年，中位随访时间5.3年，其中6个月~3年9例，>3~5年10例，>5~10年17例,末次随访按McCormick分级标准：Ⅰ级35例，Ⅱ级1例，MRI示肿瘤无复发。结论对大多数颈椎管内脊髓腹侧肿瘤，经后路半椎板入路切除，手术对肿瘤显露及切除效果满意。
Abstract:
ObjectiveTo evaluate the clinical efficacy of microsurgical resection of intraspinal neoplasms ventral to the spinal cord of the cervical spine via limited unilateral laminectomy approach.MethodsWe retrospectively analyzed clinical data of 36 patients with intradural tumors ventral to the spinal cord surgically resected through unilateral laminectomy from July 2007 to June 2019. The surgical procedure included posterior approach exposure and hemilaminectomy on the basis of maintaining the intact of the ligament nuchae, the supraspinous ligament and the interspinous ligament, followed by microsurgical removal of the subdural tumor. ResultsThe operations had been performed with gross total of tumor resection in all the 36 cases. The average operative time was 120 minutes (range, 90-246 minutes), and the average blood loss was around 200 ml (range, 90-600 ml). There was no complication in all the cases. The average hospital stay after operation was 6 days (range, 3-9 days). The postoperative pathological outcomes showed neurilemmomas in 23 cases, meningiomas in 11 cases, and enterogenous cyst in 2 cases. The median period of followups was 5.3 years, including 6 months to 3 years in 9 cases, more than 3 years to 5 years in 10 cases, and more than 5 years to 10 years in 17 cases. According to the McCormick grading system, 35 cases were grade Ⅰ and 1 case was grade Ⅱ. The MRI showed no tumor recurrence.ConclusionThe intraspinal neoplasm ventral to the spinal cord of cervical spine can be exposed and totally removed via limited unilateral laminectomy approach with satisfactory outcomes.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email:ab1965@163.com
更新日期/Last Update: 2020-12-09