[1]高 俊,李智敏,王天宇,等.成人椎管内先天性肿瘤的手术治疗[J].中国临床神经外科杂志,2016,(11):670-672.[doi:10.13798/j.issn.1009-153X.2016.11.006]
 GAO Jun,LI Zhi-min,WANG Tian-yu,et al.Surgical treatment of intraspinal congenital neoplasms in adult patients[J].,2016,(11):670-672.[doi:10.13798/j.issn.1009-153X.2016.11.006]
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成人椎管内先天性肿瘤的手术治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2016年11期
页码:
670-672
栏目:
论著
出版日期:
2016-11-25

文章信息/Info

Title:
Surgical treatment of intraspinal congenital neoplasms in adult patients
文章编号:
1009-153X(2016)11-0670-03
作者:
高 俊李智敏王天宇杨 众李永宁马文斌王任直
100730 北京,北京协和医院神经外科
Author(s):
GAO Jun LI Zhi-min WANG Tian-yu YANG Zhong LI Yong-ning MA Wen-bin WANG Ren-zhi.
Department of Neurosurgery, Peking Union Medical College Hospitl, Beijing 100730, China
关键词:
椎管内肿瘤先天性肿瘤成人手术治疗
Keywords:
Intraspinal congenital neoplasm Adult Surgical treatment Curative effects
分类号:
R 739.41;R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2016.11.006
文献标志码:
A
摘要:
目的 探讨成人椎管内先天性肿瘤的临床特点及手术治疗方法。方法 回顾性分析2006年1月至2014年12月手术治疗的48例成人椎管内先天性肿瘤的临床资料。结果 肿瘤全切除11例,大部分切除21例,部分切除16例;无手术死亡病例。术后病理结果显示(表)皮样囊肿20例,脂肪瘤13例,畸胎瘤10例,支气管源性囊肿3例,肠源性囊肿2例。43例术后随访1~6年,平均2.8年;2例皮样囊肿复发,二次手术切除;25例症状改善,15例稳定,3例恶化。结论 对成人椎管内先天性肿瘤,手术不能强求肿瘤的全切,需尽量保护神经功能和维护脊柱稳定。
Abstract:
Objective To explore the clinical features and treatment methods of intraspinal congenital neoplasms (ISCN) in adult patients. Methods The clinical data of 48 adult patients with ISCN, who underwent operations in our hospital from January, 2006 to December 2014, were analyzed retrospectively. Results Of 48 patients with ISCN, 11 received gross total resection of ISCN, 21 subtotal resection and 16 partial resection. No patients died of the operation. The postoperative pathological examination showed that of 48 ISCN, 20 were epidermoid or dermoid cysts, 13 lipomas, 10 teratomas, 3 bronchogenic cysts and 2 enterogenous cysts. Forty-three patients were followed up for 1 to 6 years (mean, 2.8 years). Two patients underwent surgery again for recurred dermoid cysts. The neurological symptoms were improved in 25 patients, unchanged in 15 and deteriorated in 3 during the following up. Conclusion For adult patients with ISCN, the total resection of ISCN should not be purposely pursued. It is important to preserve neurological functions and maintain the spinal stability in the patients.

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备注/Memo

备注/Memo:
通讯作者:李永宁,E-mail:liynpumch@hotmail.com
更新日期/Last Update: 2016-11-25