成人椎管内先天性肿瘤的手术治疗  

Surgical treatment of intraspinal congenital neoplasms in adult patients

作　　者：高俊[1] 李智敏[1] 王天宇[1] 杨众[1] 李永宁[1] 马文斌[1] 王任直[1] 

机构地区：[1]北京协和医院神经外科,北京100730

出　　处：《中国临床神经外科杂志》2016年第11期670-672,共3页Chinese Journal of Clinical Neurosurgery

摘　　要：目的 探讨成人椎管内先天性肿瘤的临床特点及手术治疗方法。方法 回顾性分析2006年1月至2014年12月手术治疗的48例成人椎管内先天性肿瘤的临床资料。结果 肿瘤全切除11例,大部分切除21例,部分切除16例;无手术死亡病例。术后病理结果显示（表）皮样囊肿20例,脂肪瘤13例,畸胎瘤10例,支气管源性囊肿3例,肠源性囊肿2例。43例术后随访1～6年,平均2.8年;2例皮样囊肿复发,二次手术切除;25例症状改善,15例稳定,3例恶化。结论 对成人椎管内先天性肿瘤,手术不能强求肿瘤的全切,需尽量保护神经功能和维护脊柱稳定。Objective To explore the clinical features and treatment methods of intraspinal congenital neoplasms （ISCN） in adult patients. Methods The clinical data of 48 adult patients with ISCN, who underwent operations in our hospital from January, 2006 to December 2014, were analyzed retrospectively. Results Of 48 patients with ISCN, 11 received gross total resection of ISCN, 21 subtotal resection and 16 partial resection. No patients died of the operation. The postoperative pathological examination showed that of 48 ISCN, 20 were epidermoid or dermoid cysts, 13 lipomas, 10 teratomas, 3 bronchogenic cysts and 2 enterogenous cysts. Forty-three patients were followed up for 1 to 6 years （mean, 2.8 years）. Two patients underwent surgery again for recurred dcrmoid cysts. The neurological symptoms were improved in 25 patients, unchanged in 15 and deteriorated in 3 during the following up. Conclusion For adult patients With ISCN, the total resection of ISCN should not be purposely pursued. It is important to preserve neurological functions and maintain the spinal stability in the patients.

关 键 词：椎管内肿瘤 先天性肿瘤 成人 手术治疗 

分 类 号：R739.41[医药卫生—肿瘤] R651.11[医药卫生—临床医学]