胸椎管内肿瘤的早期诊断和显微外科治疗  

Early diagnosis and microsurgical treatment of thoracic intraspinal tumor

作　　者：侯赛云[1] 赵新建[2] 张毅[2] 廖绪强[2] 杨林[2] 关宏业[2] 

机构地区：[1]中山大学佛山市第一人民医院博士后站,佛山528000 [2]广东省佛山市第一人民医院骨科,佛山528000

出　　处：《岭南现代临床外科》2005年第2期133-134,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的总结胸椎管内肿瘤的临床特点,探讨其早期诊断的方法,评价椎管内肿瘤采用显微外科技术摘除的疗效。方法回顾性分析我科自1996年～2004年7月经手术治疗的34例胸椎管内肿瘤患者的临床资料,同时提出采用显微外科技术切除肿瘤的方法。结果本组术后无1例神经损伤加重,亦无切口感染及其它严重并发症发生。所有患者自术后第二天起症状缓解,双下肢感觉、肌力、浅反射、腱反射是逐渐恢复和病理反射消失。术后随访1～6个月,完全恢复30例,好转4例,优良率是100%。结论通过症状、体征及MRI可早期诊断胸椎管内肿瘤,早期采用显微外科技术切除椎管内肿瘤,具有解剖层次分明、肿瘤切除完全、避免对脊髓、神经根的损伤,是提高全切率、改善预后的关键。Objective To invastigate microsurgical results of thoracic intraspinal tumor. a method of early diagnosis and to evaluate Methods From February 1996 to July 2004,the clinical data of 34 cases with thoracic spiwal tumor received operation were analyzed retrospectively. Results No nerve injury was aggravated,and no wound infection and other severe complications were found in all cases after operation.Since the second day of postoperation, the patient＇s symptoms were relieved.The sensation,myodynamia,superficial reflex and tendon reflex of lower limbs were recovered gradually.Pathologic signs were disappeared. With follow-up from 1-6 months,complete recovery was in 30 cases and improvement in 4 cases.The excellent and good rates were 100%. Conclusion Early diagnosis of thoracic intraspinal tumor can be obtained by the symptoms, physical signs and MRI examination. Microsurgery technique can prevent the damage of spinal cord and nerve root, and markly increase cure rate.

关 键 词：椎管内肿瘤 诊断 显微外科 

分 类 号：R739.42[医药卫生—肿瘤]