[1]马长城　林国中　张　嘉　张　凯　王振宇.脊髓圆锥髓内表皮样囊肿的手术治疗[J].中国临床神经外科杂志,2015,(12):739-741.[doi:10.13798/j.issn.1009-153X.2015.12.011]
　MA Chang-cheng,LING Guo-zhong,ZHANG Jia,et al.Surgical treatment of conical intramedullary epidermoid cysts[J].,2015,(12):739-741.[doi:10.13798/j.issn.1009-153X.2015.12.011]
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脊髓圆锥髓内表皮样囊肿的手术治疗()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年12期
页码:
739-741
栏目:
论著
出版日期:
2015-12-30

文章信息/Info

Title:
Surgical treatment of conical intramedullary epidermoid cysts
文章编号:
1009-153X（2015）12-0739-03
作者:
马长城　林国中　张　嘉　张　凯　王振宇
100191 北京，北京大学第三医院神经外科
通讯作者：王振宇，E-mail：wzyu502@hotmail.com
Author(s):
MA Chang-cheng;  LING Guo-zhong;  ZHANG Jia;  ZHANG;  Kai;  WANG Zheng-yu.
Department of Neurosurgery, The Third Hospital, Peking University, Beijing 100191, China
关键词:
脊髓圆锥; 表皮样囊肿; 手术
Keywords:
Terminal cone;  Epidermoid cyst;  Surgery
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.12.011
文献标志码:
A
摘要:
目的 探讨脊髓圆锥髓内表皮样囊肿的手术方式及其疗效。方法 对2001~2014年收治的27例不同形态的圆锥髓内表皮样囊肿进行分类，采取不同的手术方式进行治疗，并对预后予以随访评估。结果 所有病例均行手术治疗，其中单发囊肿23例，多发囊肿4例；25例行内容物全切，2例多发囊肿病例中有个别小囊肿未行切除；21例行囊壁电灼全切，5例行囊壁部分电灼切除。术前大小便功能障碍23例，脚部麻木不适9例，小腿或脚部无力7例；术后症状明显改善21例，3例小便功能障碍较术前略加重，4例脚部麻木较术前明显加重，1例脚部无力稍加重。术后随访19例，随访期限9个月~11年，平均4.2年；17例症状明显减轻；3例小便功能障碍加重者加重，2例恢复到术前水平；复发2例再次手术，术后恢复良好。结论 对于脊髓圆锥髓内表皮样囊肿，根据不同的肿瘤形态采用不同的手术方式能明显提高疗效，减少并发症，防止复发。
Abstract:
Objectives To study the surgical procedures of the conical intramedullary epidermoid cysts and improve the curative effect of surgery on them. Methods The conical intramedullary epidermoid cysts were classified according to their different morphology in 27 patients and treated by different surgical Methods from 2001 to 2014. Nineteen patients were followed up from 9 months to 11 years (mean, 4.2 years). Results There was solitary cyst in each of 23 patients and multiple cysts in each of 4 patients. Of 27 patients, 25 received total removal of cystic contents and 2 with multiple cysts had the residual little cyst after the surgery. Of 27 patients, 21 received the total removal of the cystic walls and 5 partial. The preoperative symptoms were significantly improved after the operation in 21 patients. The feet numbness became more obvious after the operation than that before the operation in 4 patients. The urinary dysfunction in 3 patients and foot weakness in 1 patient were slightly deteriorated after the operation. The cysts recurred during the following-up in 2 patients who recovered very well after the reoperation. Conclusion The treatment with different surgical Methods according to the different morphological characteristics can significantly improve prognoses and reduce the postoperative complications and cystic recurrence in the patients with conical intramedullary epidermoid cysts.

参考文献/References:

[1] Iaconetta G, Carvalho GA, Vorkapic P, et al. Intracerebral epidermoid tumor: a case report and review of the literature [J]. Surg Neurol, 2001, 554: 218-222.
[2] Gormley W, Tomecek F, Qureshi N, et al. Craniocerebral epidermoid and dermoid tumors: a review of 32 cases [J]. Acta Neurochir (Wien), 1994, 128(1-4): 1115-1121.
[3] 林国中，马长城，王振宇. 圆锥马尾常见胚源性肿瘤的显 微手术治疗[J]. 中国临床神经外科杂志，2010，15（8）： 501-502.
[4] 郭锁成，步星耀，邢亚洲. 脊髓内先天性上皮囊肿[J]. 中国 脊柱脊髓杂志，2009，19（12）： 943-944.
[5] Roux A, Mercier C, Larbrisseau A, et al. Intramedullary epidermoid cyst of the spinal cord. case report [J]. J Neuro- surg, 1992, 76: 528-533.

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更新日期/Last Update: 2016-12-30