胸腔镜辅助下Ⅰ期全脊柱整块切除在胸椎肿瘤中的临床应
用
薛文;管晓鹂;王增平;郝忠玉;刘林;钱耀文
【期刊名称】《中国骨伤》 【年(卷),期】2017(030)009
【摘要】Objective:To investigate the clincial effects and feasibility of anterior thoracoscopically assisted surgery (TAS) with posterior one stage total en block spondylectomy (TES) for thoracic spinal tumour. Methods:From October 2014 to January 2016,4 patients with thoracic spinal tumour were treated by anterior thoracoscopically assisted surgery with posteri-or one stage total en block spondylectomy. There were 2 males and 2 females ,aged 16,35,46,60 years. Courses of disease were 1,4,6,9 months. The tumor occurred at T4,T6,T10 segment in 1 case respectively,at double T7/T8 segments in 1 case. Preoperative visual analogue scores (VAS) were 4,5,6,8 points. Frankel grade of neurologic function was grade B in 2,D in 1,and E in 1. SF-36 quality of life scores were 38,65,35,29 points,including 2 cases of primary spinal tumors,2 cases of metastatic spinal tumors. According to the classification of Tomita ,1 case was typeⅢ,2 cases were typeⅣ,1 case was typeⅥ. And according to the WBB staging,4-9/ABCD was in 2 cases,5-8/ABC compliated with 1-3 was in 1 case,6-7/ABC was in 1 case. Surgical procedure:With lateral position,the thoracoscope channel was inserted.
胸腔镜辅助下Ⅰ期全脊柱整块切除在胸椎肿瘤中的临床应用
