颈胸椎管内神经源性肿瘤的诊断及治疗  

Diagnosis and surgical treatment of neurogenic tumors in cervical vertebra and thoracic vertebra

作　　者：陈关林[1] 李长虎[1] 李雄[1] 李金永[1] 黄敏[1] 

机构地区：[1]广东省茂名市人民医院骨科,525000

出　　处：《中国实用医刊》2010年第9期8-9,共2页Chinese Journal of Practical Medicine

摘　　要：目的 总结颈胸段椎管内神经源性肿瘤的诊断与手术治疗方法.方法 回顾我科近5年来收治的15例颈胸段椎管内神经源性肿瘤患者的诊断及手术治疗情况.15例肿瘤全切或次全切,14例行内固定植骨融合术.结果 除1例转移瘤因原发病并发症于术后2年死亡外,其余病例症状均获得改善,在最长36个月的随访中未出现脊柱后凸畸形.结论 MRI为诊断椎管内肿瘤的有效方法,术中应注意保护脊髓及神经根,内固定重建对维持脊柱的稳定性有重要价值,可防止远期后凸畸形的发生.Objective To summarize the diagnosis and surgical intervention of intraspinal neuromas in cervical vertebra and thoracic vertebra. Methods A retrospective review was made on 15 cases of ntraspinal neuromas of cervical vertebra and thoracic vertebra in last 5 years. Total resection or sub-total resection was achieved in all cases, and internal fixation and fusion were used in 14 cases. Results In addition to 1 case of metastatic tumor died in 2 years after surgery because of the primary disease and complications, the symptoms of the remaining were improved after surgery, no kyphosis in the longest follow-up of 36 months. Conclusions MRI is an effective way for the diagnosis of intraspinal tumors. Pay attention to protecting the spinal cord and nerve roots during the surgery. Stability reconstruction plays important roles in maintaining stability of spine, and it can prevent the occurrence of kyphosis.

关 键 词：椎管 神经源性肿瘤 诊断 外科手术 

分 类 号：R73[医药卫生—肿瘤]