[1]苏旭明 张学新 刘海英.半椎板切除在上颈段椎管内神经鞘瘤手术中的应用[J].中国临床神经外科杂志,2017,(03):145-148.[doi:10.13798/j.issn.1009-153X.2017.03.006]
 SU Xu-ming,ZHANG Xue-xin,LIU Hai-ying..Application of hemilaminectomy to surgery for upper cervical spine neurinoma[J].,2017,(03):145-148.[doi:10.13798/j.issn.1009-153X.2017.03.006]
点击复制

半椎板切除在上颈段椎管内神经鞘瘤手术中的应用()
分享到:

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2017年03期
页码:
145-148
栏目:
论著
出版日期:
2017-03-20

文章信息/Info

Title:
Application of hemilaminectomy to surgery for upper cervical spine neurinoma
文章编号:
1009-153X(2017)03-0145-04
作者:
苏旭明 张学新 刘海英
050000 石家庄,河北医科大学第四医院神经外科
Author(s):
SU Xu-ming ZHANG Xue-xin LIU Hai-ying.
Department of Neurosurgery, The Fourth Hospital, Hebei Medical University, Shijiazhuang 050000, China
关键词:
神经鞘瘤上颈段椎管显微手术半椎板切除术颈枕融合内固定术
Keywords:
Upper cervical spine Neurinoma Surgery Hemilaminectomy Clinical effects
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.03.006
文献标志码:
A
摘要:
目的 探讨半椎板切除在上颈段椎管内神经鞘瘤手术中的应用效果。方法 回顾性分析2005~2015年手术治疗的15例上颈段椎管内神经鞘瘤的临床资料,术中均采用半椎板切除+颈枕融合内固定术。结果 15例肿瘤均全切除。术后随访3~20个月,10例症状明显改善,4例部分改善,1例无改善;复查CT及MRI肿瘤无复发,无颈椎畸形。结论 半椎板切除对上颈段椎管内神经鞘瘤的暴露及切除程度均较满意;术中应用合理的内固定方式,有助于确保颈枕部稳定性;术后患者恢复快,效果满意。
Abstract:
Objective To explore the therapeutic effect of surgery through hemilaminectomy approach on upper cervical spine neurinoma. Method The clinical data of 15 patients with upper cervical spine neurinomas undergoing surgery through hemilaminectomy from 2005 to 2015 were analyzed retrospectively. Results The tumors were totally removed in all the patients. The following-up of 3 to 20 months showed that symptoms were significantly improved in 10 patients, partly in 4 and unchanged in 1. The postoperative CT and MRI showed that no tumor recurred and there were no cervical spine deformities in all the patients. Conclusion The surgery through hemilaminectomy approach for upper cervical spine neurinomas is simple and safe, and of merits including satisfactory resection of the tumor, less operative side-injury and patients’ rapid recovery.

参考文献/References:

[1] 京 城,王振宇,马长城,等. 660例椎管内肿瘤的手术治 疗[J]. 中国微创外科杂志,2009,9:940-945.
[2] 陈 军,吴海滨,颜士卫,等. 棘突椎板切开复位在成人椎 管内肿瘤术中应用[J]. 临床神经外科杂志,2011,8:176- 177.
[3] Angevine PD, Kellner C, Haque RM, et al. Surgical mana- gement of ventral intradural spinal lesions [J]. J Neurosurg Spine, 2011, 15(1): 28-37.
[4] 宋洁富,荆志振,胡 伟. 颈椎硬膜内髓外肿瘤手术治疗 方式选择[J]. 中华骨科杂志,2010,30(8):754-757.
[5] Hirano K, Matsuyama Y, Sakai Y, et al. Surocal complica- tions and management of occipitothoracic fusion for cervical destructire lesions in RA patients [J]. J Spinal Disord Tech, 2010, 23(2): 121-126.
[6] 王 锐,田增民. 上颈段及项颈交界区脊髓肿瘤的显微手 术治疗[J]. 中华外科杂志,2007,45(4):285-286.
[7] Ahn DK, Park HS, Choi DJ, et al. The surgical treatment for spinal intradural extramedullary tumors [J]. Clin Orthop Surg, 2009, l(3): 165-172.
[8] 李玉伟,王海蛟,严晓云,等. 单开门椎管成形显微手术治 疗颈椎管髓外硬膜内肿瘤[J]. 中华神经外科杂志,2015, 31(9):928-931.
[9] Yao KC, McGirt MJ, Chaichana KL, et al. Risk factors for progressive spinal deformity following resection of intrame- dullary spinal cord tumors in children: an analysis of 161 consecutive cases [J]. J Neumsurg, 2007, 107(6): 463-468.
[10] Menku A, Koc RK, Oktem IS, et al. Laminoplasty with miniplates for posterior approach in thoracic and lumbar intraspinal surgery [J]. Turk Neurosurg, 2010, 20(1): 27-32.
[11] Eggert HR, Scheremet R, Seeger W, et al. Unilateral micro- surgical approaches to exramedullary spinal tumors opera- tive technique and result [J]. Acta Neurochir (Wien), 1983, 67(3/4): 245-253.
[12] Naganawa T, Miyamoto K, Hosoe H, et al. Hemilaminectomy for removal of extramedullary or extradural spinal cord tumors: medium to long-term clinical outcomes [J]. Yonsei Med J, 2011, 52(1): 121-129.
[13] Joaquim AF, Cheng I, Patel AA. Postoperative spinal defor- mity after treatment of intracanal spine lesions [J]. Spine J, 2012, 12(11): 1067-1074.
[14] 李金泉,龚冰南,徐 皓,等. 寰枢椎融合与颈枕融合治疗 上颈椎疾患的临床疗效比较[J]. 中华临床医师杂志, 2013,7(4):104-107.
[15] Sayer FT, Kronvall E, Nilsson OG. Methylprednisolone treatment in acute spinal cord injury: the myth challenged through a structured analysis of published literature [J]. Spine J, 2006, 6(3): 335-343.

相似文献/References:

[1]陈晓东 于 涛 王振宇.脊髓髓内神经鞘瘤的诊断与治疗[J].中国临床神经外科杂志,2015,(11):670.[doi:10.13798/j.issn.1009-153X.2015.11.010]
 CHEN Xiao-dong,YU Tao,WANG Zhen-yu.Diagnosis and treatment of intramedullary spinal schwannomas[J].,2015,(03):670.[doi:10.13798/j.issn.1009-153X.2015.11.010]
[2]韩芸峰 王振宇 刘翠苓 陈晓东.胸椎管内脊膜瘤伴神经鞘瘤1例[J].中国临床神经外科杂志,2016,(07):448.[doi:10.13798/j.issn.1009-153X.2016.07.023]
[3]陈加贝 欧阳辉.脑实质内神经鞘瘤1例[J].中国临床神经外科杂志,2015,(06):384.[doi:10.13798/j.issn.1009-153X.2015.06.025]
[4]冯 浩 张跃康 惠旭辉 刘雪松.侧脑室内神经鞘瘤1例[J].中国临床神经外科杂志,2015,(04):256.[doi:10.13798/j.issn.1009-153X.2015.04.024]
[5]汪 洋 李志鹏 叶春伟 李海丹 和术臣 李卓衡 蔡 潜 张黄成昊.闭孔神经鞘瘤1例并文献复习[J].中国临床神经外科杂志,2017,(04):257.[doi:10.13798/j.issn.1009-153X.2017.04.020]
[6]龚光辉 刘金辉 龚 明 樊 丹.头皮神经鞘瘤囊性变1例[J].中国临床神经外科杂志,2018,(01):64.[doi:10.13798/j.issn.1009-153X.2018.01.028]
[7]王 明 陈铁戈 赵 鑫 张海鸿.胸椎管内神经鞘瘤伴胸腰段椎管囊肿1例[J].中国临床神经外科杂志,2018,(07):510.[doi:10.13798/j.issn.1009-153X.2018.07.022]
[8]袁 伟 张明山 梁紹栋等.44例颈静脉孔区神经鞘瘤的手术疗效分析[J].中国临床神经外科杂志,2018,(08):523.[doi:doi:10.13798/j.issn.1009-153X.2018.08.004]
 YUAN Wei,ZHANG Ming-shan,LIANG Shao-dong,et al.Microsurgery for jugular foramen schwannomas (report of 44 cases)[J].,2018,(03):523.[doi:doi:10.13798/j.issn.1009-153X.2018.08.004]
[9]甘 武 詹升全 林晓风 周德祥 王 鹏.原发脑室内神经鞘瘤2例报道及文献复习[J].中国临床神经外科杂志,2018,(11):714.[doi:10.13798/j.issn.1009-153X.2017.11.004]
 GAN Wu,ZHAN Sheng-quan,LIN Xiao-feng,et al.Report of 2 cases of primary intraventricular schwannomas and review of literature[J].,2018,(03):714.[doi:10.13798/j.issn.1009-153X.2017.11.004]
[10]李雅丹 杨美玲 冯建萍.颈静脉孔区神经鞘瘤术后护理体会[J].中国临床神经外科杂志,2021,26(11):878.[doi:10.13798/j.issn.1009-153X.2021.11.019]

更新日期/Last Update: 2017-03-25