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[目的]探讨哑铃I型胸椎管肿瘤的手术治疗方法。[方法]回顾性分析本院自2009年7月~2012年4月间收治的11例哑铃I型胸椎管肿瘤患者的临床资料。[结果]11例哑铃型胸椎管肿瘤患者均经MRI和术后组织病理学检查明确诊断,所有病例均行Ⅰ期手术切除,胸腔内肿瘤部分在胸腔镜下切除,11例获得随访,随访时间7个月~2年,10例恢复正常工作。[结论]对胸椎管肿瘤患者应重视体格检查,MRI检查在哑铃型椎管内肿瘤的诊断和手术方式的选择上作用重大;Ⅰ期后路手术结合胸腔镜下完全切除肿瘤是最有效的治疗方法。
[Objective] To discuss the surgical treatment of dumbbell I-type thoracic spinal tumor. [Methods] The clinical data of 11 patients with dumbbell I-type thoracic spinal canal cancer treated in our hospital from July 2009 to April 2012 were retrospectively analyzed. [Results] All 11 patients with dumbbell-shaped thoracic spinal tumor were diagnosed by MRI and postoperative histopathological examination. All patients underwent surgical resection in stage Ⅰ, thoracoscopic resection of thoracic tumor, and 11 cases were followed up and followed up Time of 7 months to 2 years, 10 cases returned to normal work. [Conclusion] Patients with thoracic spinal tumors should attach importance to physical examination. MRI examination plays an important role in the diagnosis of dumbbell-shaped intraspinal tumors and the selection of surgical methods. Stage Ⅰ posterior surgery combined with thoracoscopic resection of tumors is the most effective treatment method.