脊髓内表皮样囊肿的临床分析(附4例报告)  

Intramedullary spinal epidermoid cysts:a clinical analysis of 4 cases

作　　者：吴建兵 崔高宇[2] 高晋健 刘智[2] 王兴[2] 潘杰香[2] 

机构地区：[1]成都363医院神经外科,四川成都610041 [2]西南医院神经外科,重庆400038

出　　处：《中国临床神经外科杂志》2012年第11期665-667,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的总结脊髓内表皮样囊肿的临床特点,探讨其手术时机、手术方式的选择。方法回顾分析2009年8月至2011年12月间收治的4例经手术和病理证实的脊髓内表皮样囊肿患者的临床资料。4例脊髓内表皮样囊肿中,3例位于胸腰段脊髓内,1例位于胸段脊髓内。结果手术采用后正中入路,在显微镜下操作,2例囊肿完全切除,2例术中残留部分囊壁。术后3例病人症状及体征均明显好转,1例病人好转不明显。术后随访1～29月,3例病人恢复正常工作,半年后复查MRI未见肿瘤复发;1例病人能自动下床活动。结论早期发现、早期诊治是脊髓内表皮样囊肿治疗成功的关键。显微手术技术的发展有助于完整切除囊肿,减少术后神经功能的废损率和囊肿的复发率。Objective To explore the clinical features and operative opportunity, operative mode of the intramedullary spinal epidermoid cysts （IMSEC）. Methods The clinical data of 4 patients （age range, 14-15 years） with IMSEC, of whom, 1 was male and 3 female, treated by surgery from August, 2009 to December, 2011 were analyzed retrospectively. IMSEC in 1 patient was located in the thoracic spinal cord and 3 were in the thoracolumbar spinal cord （conus）. Results IMSEC were totally removed in 2 patients and there was a part of the cystic wall remnant in 2. The following up from, to 29 months showed that the symptoms were significantly improved in 3 patients and insignificantly in 1. Conclusions The early diagnosis and treatment are the key to successful treatment of IMSEC. The curative effect of early microsurgery on IMSEC is good.

关 键 词：脊髓内肿瘤 表皮样囊肿 显微手术 

分 类 号：R744.9[医药卫生—神经病学与精神病学] R651.2[医药卫生—临床医学]