[1]丁崇学 潘红利 范雁东 李彦东 王金龙 罗 坤.半椎板入路显微手术切除椎管内髓外硬膜下肿瘤的效果分[J].中国临床神经外科杂志,2019,(10):598-601.[doi:10.13798/j.issn.1009-153X.2019.10.007]
 DING Chong-xue,PAN Hong-li,FAN Yan-dong,et al.Microsurgery via hemilaminectomy for extramedullary and subdural tumors (report of 38 cases)[J].,2019,(10):598-601.[doi:10.13798/j.issn.1009-153X.2019.10.007]
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半椎板入路显微手术切除椎管内髓外硬膜下肿瘤的效果分()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年10期
页码:
598-601
栏目:
论著
出版日期:
2019-10-20

文章信息/Info

Title:
Microsurgery via hemilaminectomy for extramedullary and subdural tumors (report of 38 cases)
文章编号:
1009-153X(2019)10-0598-04
作者:
丁崇学 潘红利 范雁东 李彦东 王金龙 罗 坤
830054 乌鲁木齐,新疆医科大学第一附属医院神经外(丁崇学、潘红利、范雁东、李彦东、罗 坤);25700 山东东营,胜利油田中心医院神经外科(王金龙)
Author(s):
DING Chong-xue1 PAN Hong-li1 FAN Yan-dong1 LI Yan-dong1 WANG Jin-long2 LUO Kun1. 1. Departemnt of Neurosurgery First Affiliated Hospital Xinjiang Medical University Urumqi 830054 China; 2. Department of Neurosurgery Shengli Oilfield Central Hospital Dongying 25700 China
1. Departemnt of Neurosurgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China; 2. Department of Neurosurgery, Shengli Oilfield Central Hospital, Dongying 25700, China
关键词:
椎管内肿瘤髓外硬膜下肿瘤显微手术半椎板入路疗效
Keywords:
Microsurgery Hemilaminectomy Extramedullary and subdural tumors Curative effects
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.10.007
文献标志码:
A
摘要:
目的 探讨半椎板入路显微手术切除椎管内髓外硬膜下肿瘤的方法及疗效。方法 回顾性分析2016年1月至2018年12月采用半椎板入路显微手术切除的38例椎管内髓外硬膜下肿瘤的临床资料。结果 肿瘤全切除35例,次全切除3例(肿瘤与周围神经组织粘连紧密)。术后病理示神经鞘瘤 29例、脊膜瘤6例、表皮样囊肿2例、副神经节瘤1例。术后随访6~36个月,平均19.3个月;MRI复查显示复发1例,未见椎体滑脱及脊柱畸形发生;术后6个月Frankel分级:改善34例,不变3例,恶化1例。结论 半椎板入路显微手术切除椎管内髓外硬膜下肿瘤,不但能够充分显露肿瘤,而且保留椎板后弓的完整性,脊柱稳定性良好。
Abstract:
Objective To investigate the operative method and clinical outcomes of microsurgery via hemilaminectomy for extramedullary and subdural tumors. Methods The clinical data of 38 patients with intraspinal extramedullary and subdural tumors, of whom, 36 were treated by microsurgery via hmilaminectomy and 2 by total laminectomy because of the large tumors and their abundant blood supply, analyzed were analyzed retrospectively. The surgical outcomes were evaluated by Frankel classification before and after the operation. Results The tumors were totally resected in 35 patients and subtotally in 3 patients due to the close adhesion between the tumors and peripheral nerve tissues. The postoperative pathological examination showed that 38 extramedullary and subdural tumors included 29 schwannomas, 6 meningiomas, 2 epidermoid cysts and 1 paraganglioma. The neurological function was improved in 34 patients, unchanged in 3 and worsened in 1 according to Frankel classification after the surgery. Conclusions The resection of intraspinal extramedullary and subdural tumors by microsurgery through hemilaminectomy can not only fully expose the tumors, but also it can preserve the integrity of the posterior arch of the lamina and the spinal stability is good.

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81660471)通讯作者:罗 坤,E-mail:luokun_2822@sohu.com(2019-07-05收稿,2019-07-26修回)
更新日期/Last Update: 2019-10-20