[1]宋德勇 刘 毅 禤天航 张克辉.手术治疗椎管内神经鞘瘤58例[J].中国临床神经外科杂志,2017,(08):571-572.[doi:10.13798/j.issn.1009-153X.2017.08.016]
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手术治疗椎管内神经鞘瘤58例()
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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08期
页码:
571-572
栏目:
论著
出版日期:
2017-08-25

文章信息/Info

文章编号:
1009-153X(2017)08-0571-02
作者:
宋德勇 刘 毅 禤天航 张克辉
528000 广东,佛山市中医院神经外科
关键词:
椎管内神经鞘瘤显微手术手术入路
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.08.016
文献标志码:
B
摘要:
目的 总结椎管内神经鞘瘤的手术经验。方法 回顾性分析2002年 3月 2012 年 9 月手术治疗的58例椎管内神经鞘瘤的临床资料,其中40例采用后正中全椎板入路,4例采用后正中半椎板入路,3例采用经后路半椎板+关节突入路部分切除,7例行经后路全椎板+关节突入路切除+内固定植骨融合术,2例行前外侧经胸+后路椎板入路切除,2例行后外侧经横突+椎板入路切除。结果 肿瘤全切除55例,次全切除3例。55例术后随访6~34个月,平均18.5月;按照Frankle分级评定标准评判效果,改善50例,不变5例;肿瘤全切者无复发,肿瘤次全切除者2 例复发。结论 对于椎管内神经鞘瘤,手术入路的选择应根据肿瘤的位置、大小、肿瘤与脊髓之间的关系及椎管外有无侵润等综合考虑。

参考文献/References:

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更新日期/Last Update: 1900-01-01