[1]赵焱,程立冬,徐志强,等.巨大型椎管内肿瘤的显微手术治疗[J].中国临床神经外科杂志,2017,(07):483-485.[doi:10.13798/j.issn.1009-153X.2017.07.012]
 ZHAO Yan,CHENG Li-dong,XU Zhi-qiang,et al.Microsurgery for giant intraspinal tumors (report of 22 cases)[J].,2017,(07):483-485.[doi:10.13798/j.issn.1009-153X.2017.07.012]
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巨大型椎管内肿瘤的显微手术治疗()
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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:
483-485
栏目:
论著
出版日期:
2017-07-20

文章信息/Info

Title:
Microsurgery for giant intraspinal tumors (report of 22 cases)
文章编号:
1009-153X(2017)07-0483-03
作者:
赵焱程立冬徐志强夏星钟海彭翔舒凯
430035 武汉,华中科技大学同济医学院附属普爱医院神经外科(赵焱、程立冬、徐志强、夏 星、钟 海、彭 翔);430030 武汉,华中科技大学同济医学院附属同济医院神经外科(舒 凯)
通讯作者:舒 凯,E-mail:kshu@tjh.tjmu.edu.cn
Author(s):
ZHAO Yan1 CHENG Li-dong1 XU Zhi-qiang1 XIA Xing1 ZHONG Hai1 PENG Xiang1 SHU Kai2.
1. Department of Neurosurgery, Puai Hospital, Huazhong University of Science & Technology, 430035 Wuhan, China;
2. Department of Neurosurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, 430030 Wuhan, China
关键词:
椎管内肿瘤巨大型肿瘤显微手术
Keywords:
Intraspinal giant tumor Microsurgery Curative effect
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.07.012
文献标志码:
A
摘要:
目的 探讨巨大型椎管内肿瘤的显微手术技巧及其治疗效果。方法 回顾性分析2008年1月至2013年6月手术治疗的22例巨大型椎管内肿瘤的临床资料。结果 肿瘤全切除20例,次全切除2例。18例疼痛病人术后疼痛消失;12例肌力减退病人中,10例术后肌力改善,2例肌力同术前;12例麻木病人中,5例术后仍有麻木感;4例大小便功能障碍术后改善。术后病理结果:神经鞘瘤13例,脊膜瘤3例,室管膜瘤4例,星形细胞瘤2例。结论 显微手术治疗巨大型椎管内肿瘤安全、有效,熟练的手术技巧联合术中电生理监测能提高肿瘤切除率,同时能更好的保护神经功能。
Abstract:
Objective To investigate the techniques and efficacy of microsurgery for giant intraspinal tumors. Methods The clinical data of 22 patients with giant intraspinal tumor who underwent microsurgery under electroneurophysiological monitoring from January 2008 to June 2013 were analyzed retrospectively. Results Totla resection of the tumors was achieved in 20 patients, and subtotal in 2. After operation, the pain disappeared in all 18 patients with preoperative pain, the muscle strength was improved in 10 of 12 patients with preoperative decrease in muscle strength, the numbness disappeared in 7 of 12 patients with preoperative numbness, and the dysfunction of defecation and uriation was improved in 4 patients with preoperative dysfunction of defecation and uriation. The postoperative pathological findings showed that 13 patients had schwannomas, 3 spinal meningiomas, 4ependymomas, and 2 astrocytomas. Conclusions Microsurgery is a safe and effective method to treat thegiant intraspinal tumors. The skilled surgical technique combined with intraoperative electrophysiological monitoring is helpful to improving the tumor resection rate and protecting the nerve function.

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备注/Memo

备注/Memo:
基金项目:武汉市卫计委科研项目(S201510060018)
更新日期/Last Update: 2017-07-25