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目的探讨经后路全脊椎切除重建术治疗腰椎肿瘤的疗效。方法 30例行经后路全脊椎切除重建术治疗的腰椎肿瘤患者作为研究对象,观察其治疗临床疗效。结果 30例患者手术时间为187~398 min,平均手术时间(249.6±41.2)min,术中失血量为2500~9000 ml,平均术中失血量(4449.6±1108.7)ml,所有患者都没有出现脊髓、神经根等严重的并发症。结论采用后路全脊椎切除重建术治疗腰椎肿瘤疾病可以取得良好的治疗效果,改善了患者的神经功能症状,降低患者的疼痛感,提高患者的生活质量。这种方法治疗的近期效果得到认可,但是远期疗效还需要进一步进行分析和研究。
Objective To investigate the effect of posterior total spondylectomy on lumbar tumors. Methods Thirty patients with lumbar tumor treated with total spondylectomy underwent posterior resection of the lumbar spine were included in this study. The clinical efficacy of the treatment was observed. Results The operation time of the 30 patients was 187 ~ 398 min with an average operation time of (249.6 ± 41.2) min. The intraoperative blood loss was 2500 ~ 9000 ml and the average intraoperative blood loss was 4449.6 ± 1108.7 ml. No spinal cord appeared in all patients , Nerve root and other serious complications. Conclusion Posterior total spondylectomy for the treatment of lumbar tumor disease can achieve good therapeutic effect, improve the patient’s neurological symptoms, reduce the patient’s pain and improve the quality of life of patients. The short-term effect of this method of treatment has been recognized, but the long-term efficacy needs further analysis and research.