椎管内先天性肿瘤的显微外科治疗  

Microsurgical treatment of spinal cord congenital tumors

作　　者：黄忻涛[1] 万大海[1] 王宏勤[1] 马宁[1] 薛乃照[1] 赵学明[1] 郝解贺[1] 王振宇[2] 

机构地区：[1]山西医科大学第一医院神经外科,太原市030001 [2]北京大学第三医院神经外科

出　　处：《中国肿瘤临床》2016年第21期952-957,共6页Chinese Journal of Clinical Oncology

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。Objective： To characterize the microsurgical treatment of spinal cord congenital tumors and explore the experiences of pa- tients who have undergone the treatment. Methods： The clinical data of SO patients with spinal cord congenital tumors （from August 2010 to August 2015） were analyzed retrospectively. The characteristics of different types of tumor and surgical techniques were dis- cussed. Results： The age of patients with spinal cord congenital tumors is relatively young. Most tumors are located in the lumbar and sacral regions. In the S0 cases, total tumor removal was achieved in 11 cases, subtotal in 9, partial in 29, and cyst fistulation in 1. We al- so found 10 cases of epidermoid cyst, 8 cases of dermoid cyst, 13 cases of mature teratoma, 9 cases of lipoma （2 of angiolipoma）, 4 cases of intestinal cyst, 3 cases of arachnoid cyst, 1 case of glial ependymal cyst, 1 case of hamartoma, and 1 case without pathological diagnosis. The postoperative complications included 1 case of meningitis and 1 case of incision infection. Of the SO cases, 39 have been followed up from 3 months to 2 years. Recurrence was observed in 3 cases. Conclusion： Spinal cord congenital tumors could be revealed and removed satisfactorily with fewer surgical complications through microsurgical treatment.

关 键 词：脊髓肿瘤 先天性肿瘤 显微外科 手术 

分 类 号：R739.4[医药卫生—肿瘤]