【摘要】 目的探讨在铰链式体位下一期完成前后联合L型手术入路进行胸、腰椎全脊椎肿瘤整块切除术的可行性。方法对累及椎体和附件的16例全脊椎肿瘤患者采用铰链式体位一期前后联合L型入路肿瘤切除术。术前均行节段血管,肿瘤血管栓塞。结果2例因椎体病变偏右并有椎旁软组织肿块,行左侧铰链式卧位;其余14例行右侧铰链式卧位。16例均达到椎体整块切除,所有患者内固定位置良好。手术时间240～420 min,手术失血量400～1180 ml。结论铰链式体位下一期完成前后联合L型入路进行胸、腰椎全脊椎肿瘤整块切除术暴露良好,操作方便,出血少。更多还原

【Abstract】 Objective To investigate the feasibility of surgical exposure and spinal reconstruction after removal of spinal tumors in hinge-type position.Methods A retrospective review was performed in surgical treatment with one-stage combined anteroposterior surgery in hinge-type in 16 patients after removal of spinal tumors.Results Fourteen patients underwent right approach and 2 patients underwent left approach because the tumors appeared on the right of affected vertebrae.The total resections were performed in all 16 patients and theanterior reconstruction and posterior instrumentation were stable.The operation lasted for 240 to 420 min with a blood loss of 400 to 1180 ml.Conclusion One-stage combined anteroposterior L type approach for spinal tumors in hinge-type position is feasible with the advantages of adequate exposure,convenient operation and less blood loss.更多还原