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目的:探讨人工椎板与椎弓根钉内固定术治疗椎管内神经鞘瘤的可行性,安全性,评价临床疗效。方法:回顾性分析2009年7月-2012年7月入住我院12例椎管内神经鞘瘤患者的临床资料,年龄为45岁-72岁,男9例,女3例,全部病例均采用后路全椎板切除+人工椎板+椎弓根钉内固定术治疗。结果:平均手术时间95分钟,平均出血量为380mL,平均住院时间15天。平均随访12月,全部病例术后症状均得到缓解或部分缓解。结论:人工椎板与椎弓根钉内固定联合应用治疗椎管内神经鞘瘤可取得较好疗效,尤其适用于神经鞘瘤体积较大者。
Objective: To investigate the feasibility and safety of artificial lamina and pedicle screw internal fixation in the treatment of schwannoma in the spinal canal and to evaluate the clinical curative effect. Methods: The clinical data of 12 patients with schwannoma in the spinal canal who were admitted to our hospital from July 2009 to July 2012 were retrospectively analyzed. The patients were 45 years old to 72 years old. There were 9 males and 3 females, all of them were used Posterior total laminectomy + artificial lamina pedicle screw fixation. Results: The average operation time was 95 minutes, the average amount of bleeding was 380mL, the average hospitalization time was 15 days. After an average follow-up of 12 months, the symptoms of all cases were relieved or partially relieved. Conclusion: Combined application of artificial lamina and pedicle screw fixation in the treatment of schwannoma in the spinal canal can achieve better curative effect, especially for those patients with larger schwannomas.