[1]张申起,彭彬,陈治标,等.脊髓室管膜瘤的临床特点及显微手术治疗[J].中国临床神经外科杂志,2017,(07):454-456,459.[doi:10.13798/j.issn.1009-153X.2017.07.003]
　ZHANG Shen-qi,PENG Bin,CHEN Zhi-biao,et al.Clinical features and microsurgical management of intramedullary spinal cord ependymomas[J].,2017,(07):454-456,459.[doi:10.13798/j.issn.1009-153X.2017.07.003]
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脊髓室管膜瘤的临床特点及显微手术治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年07期
页码:
454-456,459
栏目:
论著
出版日期:
2017-07-20

文章信息/Info

Title:
Clinical features and microsurgical management of intramedullary spinal cord ependymomas
文章编号:
1009-153X（2017）07-0454-03
作者:
张申起; 彭彬; 陈治标; 田道锋; 王军民; 刘宝辉; 陈谦学
430060 武汉，武汉大学人民医院神经外科
通讯作者：陈谦学，E-mail：chenqx666@sohu.com
Author(s):
ZHANG Shen-qi;  PENG Bin;  CHEN Zhi-biao;  TIAN Dao-feng;  WANG Jun-min;  LIU Bao-hui;  CHEN Qian-xue.
Department of Neurosurgery, Renmin Hospital, Wuhan University, Wuhan 430060, China
关键词:
脊髓室管膜瘤; 临床特点; 显微手术; 预后
Keywords:
Intramedullary spinal cord ependymomas;  Clinical features;  Microsurgical treatment;  Prognosis
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.07.003
文献标志码:
A
摘要:
目的 探讨脊髓室管膜瘤的临床特点、显微手术治疗及预后。方法 回顾性分析2013年1月至2016年1月显微手术治疗的35例脊髓室管膜瘤的临床资料。结果 术前McCormick临床功能分级Ⅰ级15例，Ⅱ级15例，Ⅲ级3例，Ⅳ级2例。肿瘤主体位于脊髓颈段6例，颈胸交界区3例，胸段10例，腰段16例。35例中，肿瘤全切除33例，次全切除2例。30例出院后随访1年，肿瘤复发2例，再次行手术治疗；术后 McCormick 临床功能分级Ⅰ级19例，Ⅱ级8例，Ⅲ级2例，Ⅳ级1例。结论 在神经电生理监测下应用显微神经外科技术治疗脊髓室管膜瘤，术中熟练运用手术技巧以及肿瘤切除后行椎板复位，可以提高手术治疗效果。
Abstract:
Objective To explore the clinical features, microsurgical management and prognosis of intramedullary spinal cord ependymomas (ISCE).Methods The clinical data of 35 patients with ISCE who underwent microsurgery under the neuroelectrophysiological monitoring from January, 2013 to January, 2016 were analyzed retrospectively. The preoperative neurological function was McCormick grade Ⅰ in 15 patients, grade Ⅱ in 15, grade Ⅲ in 3 and grade Ⅳ in 2. The tumors were in the cervical spinal cords in 6 patients, in the cervicothoracic spinal cords in 3, in the thoracic spinal cords in 10 and in the lumbar spinal cords in 16. Results Of 35 patients with ISCE, 33 received total removal of tumors and 2 subtotal. Two patients in whom the tumors recurred a year after the operation underwent microsurgery again. The following-up a year after the microsurgery in 30 patients showed that the neurological function was McCormick grade Ⅰ in 19 patients, grade Ⅱ in 8, grade Ⅲ in 2 and grade Ⅳ in 1. Conclusions Microsurgery is an effective method to treat intramedullary spinal cord ependymomas. Neuroelectrophysiological monitoring, the surgeons’ microsurgical skills and reposition of the vertebral plate after the removal in the tumors are helpful to protection of neurological function to the greatest degree, and improvement of the prognosis of the patients with ISCE.

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备注/Memo

备注/Memo:
基金项目：湖北省自然科学基金（ZRMS2016001156）
更新日期/Last Update: 2017-07-25