[word doc]前路钛网植骨钛板置入内固定治疗下颈椎椎体转移癌.docVIP

前路钛网植骨钛板置入内固定治疗下颈椎椎体转移癌 中国组织工程研究临床康复7439赐2010—09—24出版 JournalofClinicalRehabilitative~ssueEngineeringResearchSeptember24,2010Vo1.14No39 前路钛网植骨钛板置入内固定治疗下颈椎椎体转移癌 贺茂林,肖增明,李世德,李挺松,吴吴 Anteriordebridementandinternalfixationbytitaniummeshbonegraftingandplatefor treatmentoflowercervicalmetastasistumor HeMao—lin,XiaoZeng—ruing,LiShi—de,LiTing—song,WuHao Abstract BACKGR0UND:SpinalmetastaticdiseasemaydamagethespinaJstabilityandcausethecompressionofthespinaIcord Thereforesugerytreatmentisalwaysrequired. 0BJECTIVE:ToinvestigateananteriorapproachforIowercervicalmetastasistumorIesion. METH0DS:AtotaIof30patientswithIowercervicaImetastatictumorunderwentanteriordebridement.titaniummeshbone graftingandtitaniumplateinternalfixation.Operationtime,plicationandFrankelscoreswererecorded X—raynImswereperformedtodetectimplantposition.SomepatientsadditionallyunderwentMRIexamination RESULTSANDC0NCLUSION:Theoperationtimewas90150minutes.andthebleedingduringoperationwas100—600mL_ TherewasnopOst0perativecomplicationAlJpatientswerefoIlowedupfor12—24monthswithanaveragetimeof14months, duringwhich3patientsweredeadofsystemicmetastaticcancerAttheIastfoUow—upvisit9patientshadFrankeIGradeD improvedtoGradeETherewasnobreakageofnailsorfailureoftheinternaIfixationduringthefoIlowup.TumorinIower cervicaIbodytreatedwithanteriordebridement.titaniummeshbonegraftingandtitaniumplateinternaIfixationachievedahigh satisfactoryrateinclearanceofIesionandrestoringspinalstability.Moreover.thepatientscanmoveearly HeML,XiaoZM,LiSD,LiTS,WuH.Anteriordebridementandinternalfixationbytitaniummeshbonegraftingandplatefor treatmentoflowercervicalmetastasistumor.ZhongguoZuzhiGongchengYanjiuyuLinchuangKangfu.2010:14(39):7303—7306 [http://wwwcrtercnhttp://enzglckfcom】 摘要 背景:下颈椎椎体转移癌会破坏颈椎的稳定性并导致颈髓的压迫,这类患者常需手术治疗. 目的:观察前方入路病灶清除,钛网植骨重建及钛板置入内固定治疗下颈椎椎体转移癌的效果. 方法:选择2005—06/2007—06』西医科大学第一附属医院脊柱骨病科收治的下颈椎椎体转移癌患者30例,均采用前方入 路行病灶清除,钛网植骨重建及钛板鼍入内固定治疗.记录手术时间,下床活动时间,并发症,以Frankel评分衡量脊髓 损伤情况,椎x射线片检查内固定物位鼹情况,部分患者行MRI检查局部复发及脊髓减压情况. 结果与结论:手术时间90~15Omin,出血量