本文選題：脊髓腫瘤 + 先天性腫瘤　； 參考：《中國腫瘤臨床》2016年21期

【摘要】：目的:探討椎管內(nèi)先天性腫瘤的特點及顯微外科治療體會。方法:回顧性分析山西醫(yī)科大學第一醫(yī)院2010年8月至2015年8月50例椎管內(nèi)先天性腫瘤患者的臨床資料,對不同類型腫瘤的特點、術(shù)中技巧等問題進行探討。結(jié)果:椎管內(nèi)先天性腫瘤患者發(fā)病年齡較輕,大部分位于腰骶部。50例患者中,腫瘤全切11例,近全切9例,大部分切除29例,囊腫造瘺1例。病檢表皮樣囊腫10例、皮樣囊腫8例、成熟畸胎瘤13例、脂肪瘤9例(血管脂肪瘤2例)、腸源性囊腫4例、蛛網(wǎng)膜囊腫3例、膠質(zhì)室管膜囊腫1例、錯構(gòu)瘤1例、未獲得病理診斷1例。手術(shù)并發(fā)癥包括腦(脊)膜炎1例,切口感染1例。其中39例獲得隨訪,隨訪時間為3個月~24個月,3例復發(fā)。結(jié)論:采用顯微外科手術(shù)治療椎管內(nèi)先天性腫瘤,腫瘤顯露及切除滿意,手術(shù)并發(fā)癥少,患者恢復快。
[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.
【作者單位】： 山西醫(yī)科大學第一醫(yī)院神經(jīng)外科;北京大學第三醫(yī)院神經(jīng)外科;
【分類號】：R739.4
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本文編號：2040402