经椎旁肌间隙入路治疗胸腰椎椎间孔哑铃形肿瘤

doi:10.3760/cma.j.issn.1001-2346.2011.09.010

科研成果详情

题名	经椎旁肌间隙入路治疗胸腰椎椎间孔哑铃形肿瘤
其他题名	Resection of the dumbbell tumor at the thoracolumbar spine through the paraspinal muscle approach combined with the TLIF technique
作者	滕红林1; 吴哲褒2; 吴春雷1; 王靖 1; 朱旻宇1; 陈鑫 1; 肖建如 3
发表日期	2011-09-28
发表期刊	中华神经外科杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	经椎旁肌间隙入路哑铃形肿瘤胸腰椎显微外科手术
其他关键词	The paraspinal muscle approach ; Dumbbell tumor ; Thoracolumbar spine ; Microsurgery
摘要	目的探讨经椎旁肌间隙入路切除胸腰椎椎间孔哑铃形肿瘤的手术方法和效果。方法 2003年1月至2009年6月共收集胸腰段哑铃形肿瘤患者32例:神经鞘瘤23例,神经纤维瘤6例,神经纤维瘤病3例。手术采用胸腰椎后路经椎旁肌间隙入路,术中分离多裂肌和最长肌间隙,切除关节突关节后,暴露椎间孔内外的肿瘤,完整切除肿瘤。必要时可经椎弓根螺钉内固定和脊柱植骨融合术重建脊柱稳定性。所有患者获得随访。结果所有肿瘤均全切除,其中23例行内固定重建脊柱稳定性。神经功能均有改善。术后随访8个月至6年,平均32个月。无内固定松动、断裂,无脊柱后凸、侧凸等畸形。结论以椎间孔及椎间孔外部分为主的腰椎椎间孔哑铃形肿瘤,可采用经椎旁肌间隙入路椎间孔切开切除,必要时用椎弓根螺钉固定、椎间植骨融合,重建脊柱稳定性。此方法具有肿瘤暴露好、术中出血少、术后可早期下床活动、兼顾脊柱稳定性等优点。
其他摘要	Objective To study the resection of the dumbbell tumor at the thoracolumbar spine through a paraspinal muscle approach combined with the facetomy if nesseary. Method From Jan 2003 to Jun 2009,32 cases with dumbbell tumor were enrolled and operated on. Of 32 cases, 23 cases were schwannoma, 6 cases were neurofibroma, and 3 cases were neurofibromatosis. A paraspinal approach at the interval between the longissimus and multifidis muscle was used to resect the dumbbell tumor in the foramina and passing through and out of the foramina. If necessary, the spine was reconstructed with the TLIF technique after facetomy. Results 32 cases were followed up for a mean of 32 months (range: 8 months to 6 years). The tumors were removed thoroughly. Among 32 cases, 23 cases underwent instrumentation for reconstruction of the spine. No loosening, breakage of the implant occurred and no spinal deformity was found. Conclusions The dumbbell tumor at the thoracolumbar spine, with predominant foraminal extensions or anterior paraspinal tumors, could be resected directly through the paraspinal muscle approach. After facetomy,the total of tumor could be exposed and removed. The spine can be reconstructed with fusions after facetomy. The approach is less invasive and has the advantage with good operative exposure,less intraoperative bleeding,early ambulation and spinal stability.
ISSN	1001-2346
卷号	27 期号:09 页码:894-897
DOI	10.3760/cma.j.issn.1001-2346.2011.09.010
页数	0
收录类别	CNKI ; 万方 ; 北大核心 ; PKU ; CSCD ; ISTIC
学科领域	医药、卫生 ; 神经病学与精神病学
URL	查看原文
CSCD记录号	CSCD:4329317
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/73499
专题	第二临床医学院、附属第二医院、育英儿童医院_外科学_脊柱外科附属第一医院
作者单位	1.温州医学院附属第一医院脊柱外科; 2.温州医学院附属第一医院神经外科; 3.上海长征医院脊柱外科
第一作者单位	附属第一医院
第一作者的第一单位	附属第一医院
推荐引用方式 GB/T 7714	滕红林,吴哲褒,吴春雷,等. 经椎旁肌间隙入路治疗胸腰椎椎间孔哑铃形肿瘤[J]. 中华神经外科杂志,2011,27(09):894-897.
APA	滕红林., 吴哲褒., 吴春雷., 王靖., 朱旻宇., ... & 肖建如. (2011). 经椎旁肌间隙入路治疗胸腰椎椎间孔哑铃形肿瘤. 中华神经外科杂志, 27(09), 894-897.
MLA	滕红林,et al."经椎旁肌间隙入路治疗胸腰椎椎间孔哑铃形肿瘤".中华神经外科杂志 27.09(2011):894-897.