椎管内先天性肿瘤的显微外科治疗

发布时间：2018-06-19 15:54

  本文选题：脊髓肿瘤 + 先天性肿瘤　； 参考：《中国肿瘤临床》2016年21期

【摘要】：目的:探讨椎管内先天性肿瘤的特点及显微外科治疗体会。方法:回顾性分析山西医科大学第一医院2010年8月至2015年8月50例椎管内先天性肿瘤患者的临床资料,对不同类型肿瘤的特点、术中技巧等问题进行探讨。结果:椎管内先天性肿瘤患者发病年龄较轻,大部分位于腰骶部。50例患者中,肿瘤全切11例,近全切9例,大部分切除29例,囊肿造瘘1例。病检表皮样囊肿10例、皮样囊肿8例、成熟畸胎瘤13例、脂肪瘤9例(血管脂肪瘤2例)、肠源性囊肿4例、蛛网膜囊肿3例、胶质室管膜囊肿1例、错构瘤1例、未获得病理诊断1例。手术并发症包括脑(脊)膜炎1例,切口感染1例。其中39例获得随访,随访时间为3个月~24个月,3例复发。结论:采用显微外科手术治疗椎管内先天性肿瘤,肿瘤显露及切除满意,手术并发症少,患者恢复快。
[Abstract]:Objective: to investigate the characteristics and microsurgical treatment of congenital tumors in the spinal canal. Methods: the clinical data of 50 patients with congenital tumors in the spinal canal from August 2010 to August 2015 in the first Hospital of Shanxi Medical University were analyzed retrospectively. The characteristics of different types of tumors and the intraoperative techniques were discussed. Results: the onset age of congenital tumors in the spinal canal was relatively young. Most of them were located in lumbosacral region. 11 cases had total tumor resection, 9 cases had subtotal resection, 29 cases had partial resection, and 1 case had cyst and fistula. 10 cases of epidermoid cyst, 8 cases of dermoid cyst, 13 cases of mature teratoma, 9 cases of lipoma (angiolipoma in 2 cases, enterogenous cyst in 4 cases, arachnoid cyst in 3 cases, glial ependymal cyst in 1 case, hamartoma in 1 case). No pathological diagnosis was obtained in 1 case. Surgical complications included cerebral (spinal) meningitis in 1 case, incision infection in 1 case. 39 cases were followed up and 3 cases recurred from 3 months to 24 months. Conclusion: microsurgical treatment of congenital tumors in the spinal canal is satisfactory, with fewer complications and faster recovery.
【作者单位】： 山西医科大学第一医院神经外科;北京大学第三医院神经外科;
【分类号】：R739.4
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本文编号：2040402