孙宜保;祝孟坤;常晓盼;代耀军;周晓光;杨勇;

• 1:郑州市骨科医院

摘要(Abstract)：

目的探讨带蒂棘突椎板复合体回植在椎管内良性肿瘤切除术中的应用价值。方法郑州市骨科医院2018-09—2019-10治疗18例椎管内良性肿瘤患者,应用超声骨刀经骨切开病变节段及上、下椎体棘突椎板复合体,以一侧棘上韧带为蒂掀开棘突椎板复合体打开椎管,肿瘤切除后将带蒂棘突椎板复合体原位回植固定。术后观察患者的神经恢复情况,术后定期影像学复查了解截骨面对位及愈合情况。结果 18例均获得随访,时间6～18个月,平均13.2个月,术后行X线、CT及MRI检查提示肿瘤无残留或原位复发,回植椎板位置良好,平均4.5个月回植椎板骨性愈合,未见继发医源性椎管狭窄、节段不稳相关并发症。结论采用超声骨刀切开、带蒂棘突椎板复合体回植治疗原发性椎管内肿瘤椎管,有助于重建脊柱的解剖结构,维护脊柱的稳定性,减少并发症,临床效果满意。

关键词(KeyWords)： 椎管内肿瘤;超声骨刀;棘突椎板复合体;椎扳切除术;回植

Abstract:

Keywords:

基金项目(Foundation): 郑州市科技局科研项目（编号：189PKJHM0780）

作者(Authors): 孙宜保;祝孟坤;常晓盼;代耀军;周晓光;杨勇;

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