颈椎肿瘤资料.doc

全脊椎切除术治疗脊柱肿瘤及稳定性重建??前言：目的 :探讨全脊椎切除、融合及稳定性重建术在治疗全脊椎肿瘤中的必要性和可行性。方法 :对 11例全脊椎肿瘤的患者行后路或联合前、后路期全脊椎切除、脊髓减压 ,并进行椎间植骨融及后路植骨融合、固定的手术。结果 :术后随访 3个月～ 2年 ,7例神经功能丧失者,6例完全恢复,1例部分恢复 ,所有患者局部疼痛皆消失。 1例术后出现一过性瘫痪加重。术后平均植骨融合时间为 3个月。 1例神经鞘瘤患者1年后复发并恶变。结论 :颈部全脊椎肿瘤 ,联合前、后路手术 肿瘤切除、植骨、内固定 可以彻底切除全脊椎肿瘤及稳定性重建 ;对胸、腰段脊椎肿瘤仅行后路手术便可彻底切除全脊椎肿瘤 ,并通过植骨及椎弓根钉系统内固定重建脊柱的稳定性THE STUDY OF VERTEBRECTOMY FOR TREATMENT OF SPINAL TUMORS AND SPINE RECONSTRUCTION; Objective:To explore the feasibility of vertebrectomy and fusion for treatment of spinal tumors and spine reconstruction.Methods:Eleven cases of spinal tumors were performed this operation from 1997,followed by posterior apporach,or anterior and posterior apporach.Results:The follow up of postoperation was from 3 months to 2 years.All patients were free.from rain six of 7 neural dysfuntion reeovered completely.Only 1 case were temporay paralysis.All the cases had solid fusion at an average of 3 months.The ... Keywords Spine rconstruction;Spinal neoplasms;Vertebrectomy 前后路联合一期全椎体切除脊柱重建治疗胸腰椎恶性肿瘤博士论文??前言：[目的]探讨前后路联合一期全椎体切除脊柱重建治疗胸腰椎肿瘤的疗效及优越性。[方法]应用前路全椎体切除、钛网植骨或钛网骨水泥椎体重建和后路椎弓根钉系统内固定治疗胸腰椎恶性肿瘤24例。[结果]术后随访9~35个月。所有患者疼痛症状均消除,9例不完全截瘫患者平均恢复1。8级 Frankel分级 ,2例大小便功能障碍者均恢复,4例远处重要脏器转移死亡,所有随访达6~9个月的病例均骨性融合,无内固定松动断裂,1例术后1年复发。[结论]前后路联合一期全椎体切除脊柱重建治疗胸腰椎恶性肿瘤能有效切除肿瘤、重建脊柱稳定性、提高病人生活质量。Treatment of thoracolumbar malignant neoplasms by one stage anterior-posterior approach total spondylectomy and spinal reconstraction; [Objective]To study the curative effect and superiority of one stage anterior-posterior approach total spondylectomy and spinal reconstraction in the treatment of thoracolumbar malignant neoplasms.[Method]Twenty-four thoracolumbar malignant neoplasms patients treated by anterior approach total spondylectomy,spinal reconstractin with titanium mesh cage associated with bone graft or bone cement and posterior approach transpediuclar screw fixation.[Result]The follow-up of postoperation was from 9 to 35 months.... Key words: thoracolumbar;spinal neoplasms;titanium mesh