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纸质出版:2016
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周冲,杨福兵,王斌,包长顺,郑晓梅,刘亮.超声骨刀在椎管内肿瘤切除术中的应用[J].陆军军医大学学报(原第三军医大学学报),2016,38(02):200-203.
Zhou Chong,Yang Fubing,Wang Bin,Bao Changshun,Zheng Xiaomei,Liu Liang.Piezoelectric surgery in intraspinal tumor resection[J].J Amry Med Univ (J Third Mil Med Univ),2016,38(02):200-203.
目的 探讨超声骨刀在椎管内肿瘤切除术中的应用效果及特点,观察其安全性及可靠性。 方法 回顾性分析31例行手术治疗的椎管内肿瘤患者的临床资料,其中采用超声骨刀成功完成15例手术(超声骨刀组),不采用超声骨刀成功完成16例手术(非超声骨刀组),比较两组患者手术情况及远期疗效。 结果 31例手术均顺利完成,超声骨刀组手术时间、术中出血量及住院时间均少于非超声骨刀组(P0.05)。两组远期疗效差异无统计学意义(P0.05)。术中超声骨刀对骨组织有良好的切割作用,并且精度高,对软组织保护好,出血少,术中视野清楚。术后患者症状得到较明显改善,未出现因使用超声骨刀而导致脊膜、脊髓及脊神经根损伤等并发症。随访3~12个月,回置椎板棘突复合体愈合良好,未见塌陷、移位、畸形愈合及椎管狭窄。 结论 超声骨刀能顺利有效地卸下椎板棘突复合体,对骨组织有良好的切割能力,并对神经、血管及其他软组织有很好的保护作用。
Objective To evaluate the clinical effect and safety of piezoelectric osteotomy in intraspinal tumor resection. Methods Clinical data of 31 patients with intraspinal tumors
who underwent the piezoelectric osteotomy assisted surgery (piezoelectric osteotomy group
n=15) or non-piezoelectric osteotomy assisted surgery (non-piezoelectric osteotomy group
n=16)
were retrospectively reviewed. The operation situations and long-term clinical effect were compared. Results Compared with the non-piezoelectric osteotomy group
the piezoelectric osteotomy group showed shorter operative time and hospital stay
and less blood loss (P0.05). However
the long-term clinical effect had no statistically significant difference between the 2 groups (P0.05). The piezoelectric osteotomy had good bone tissue cutting effect
high precision
good soft tissue protective effect
less bleeding
and clear operative field. After operation
most symptoms were obviously alleviated
and no dura
spinal cord and spinal nerve root injury and other complications appeared. In follow-up of 3~12 months
the spinous process and vertebral plate complex was healed well
and no collapse
shift
deformity and spinal canal stenosis occurred. Conclusion Piezoelectric osteotomy can smoothly and effectively remove the spinous process and vertebral plate complex
cut bone tissue
and provide good protective effect on the nerve
blood vessels and other soft tissues.
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