姜 亮,崔 岩,刘晓光,韦 峰,党耕町,马庆军,郭昭庆,刘忠军.脊柱骨软骨瘤的诊断与外科治疗[J].中国脊柱脊髓杂志,2011,(2):103-107. |
脊柱骨软骨瘤的诊断与外科治疗 |
中文关键词: 脊柱骨软骨瘤 诊断 手术治疗 |
中文摘要: |
【摘要】 目的:探讨脊柱骨软骨瘤的诊断及手术治疗效果。方法:1995年1月~2006年6月我院手术治疗脊柱骨软骨瘤患者21例,男14例,女7例,平均年龄35岁(8~61岁)。其中19例为孤立性骨软骨瘤,2例为多发性骨软骨瘤病;病变位于颈椎14例(含颈胸交界段2例),胸椎5例,腰椎2例(含腰骶交界段1例);病变均起自椎弓根、椎板和/或关节突等附件结构。其中15例有神经功能损害,3例仅有局部疼痛或不适,3例为无痛肿物。术前脊髓功能Frankel分级C级1例,D级8例,E级12例。21例均行手术治疗、彻底切除肿瘤。随访观察手术时间、术中出血、术前症状和脊髓功能恢复情况,以及肿瘤复发、恶变和脊柱稳定性情况。结果:平均手术时间130min(45~360min);术中平均出血510ml(20~2000ml)。术后病理诊断均为骨软骨瘤。17例获得随访,平均7.1年(4~14年),术前有脊髓神经功能障碍者均恢复至Frankel E级,末次随访时CT检查均未发现肿瘤复发或恶变。结论:CT和/或MRI检查对诊断脊柱骨软骨瘤有重要意义,手术彻底切除可获得良好效果。 |
Diagnosis and surgical treatment of spinal osteochondroma |
英文关键词:Spinal osteochondroma Diagnosis Surgical treatment |
英文摘要: |
【Abstract】 Objective:To evaluate the diagnosis and surgical treatment of spinal osteochondroma.Method:A retrospective review of 21 patients with spinal osteochondroma treated surgically in our hospital from January 1995 to June 2006 was performed.There were 14 males and 7 females with the mean age at diagnosis of 35.0 years old(range,8-61 years old).19 cases had lesions solitary and 2 multiple. 14 lesions were located in the cervical spine,5 in the thoracic spine,and 2 in the lumbar spine;All the lesions had posterior elements involved.15 patients presented with neurologic deficits,3 with local pain or discomfort,and 3 with painless mass.Preoperative Frankel system showed grade C in 1 case,grade D in 8 cases and grade E in 12 cases.All patients underwent surgical procedures.The surgical time,blood loss,preoperative symptoms,tumor recurrence and metastasis,as well as the status of spinal stability were followed-up and reviewed.Result:The mean surgical time was 130mins(range,45-360mins);the average intraoperative blood loss was 510ml(range,20-2000ml).All patients had Frankle score improved to grade E after operation.17 cases were followed up for an average of 7.1 years(range,4-14 years),no tumor recurrence was noted.Conclusion:CT and/or MRI is critical for final diagnosis.Surgery is indicated for long-term neck pain,neurological defect,and/or lesion progression recently.Complete resection of the tumor is reliable. |
投稿时间:2010-08-03 修订日期:2010-11-17 |
DOI:10.3969/j.issn.1004-406X.2011.2.103.4 |
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