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目的:介绍一种椎板回植成形术式,评价其在治疗椎管内原发肿瘤手术中的效果。方法:20例胸腰椎管内原发肿瘤患者行肿瘤摘除椎板回植成形术,随访观察治疗效果。结果:平均随访27.8个月,20例患者切口均一期愈合,腰背痛及下肢疼痛、麻木等症状均消失,效果满意,无继发性椎管狭窄发生。结论:椎板回植成形术治疗椎管内肿瘤有利于保持脊柱的稳定性和恢复椎管完整性,避免医源性椎管狭窄症的发生,且操作简单,适合临床应用。
OBJECTIVE: To introduce a kind of laminoplasty and to evaluate its effect in the treatment of primary tumor in spinal canal. Methods: Twenty cases of primary thoracic and lumbar spinal tumor were treated with tumor resection laminoplasty. The follow-up treatment was performed. Results: With an average follow-up of 27.8 months, all the incisions healed in one time, low back pain, lower extremity pain and numbness disappeared. The results were satisfactory and no secondary spinal stenosis occurred. Conclusion: The translaminoplasty for spinal canal tumor is helpful to maintain the stability of spinal column and restore the integrity of spinal canal, avoid the occurrence of iatrogenic spinal stenosis, and is simple to operate and suitable for clinical application.