脊髓圆锥区先天性肿瘤外科手术治疗56例临床分析  

Clinical analysis of 56 cases with surgical operation of congenital tumor in conus medullaris position

作　　者：艾克拜尔·亚里坤[1] 黄啸元 帕尔哈提江 杨小朋[1] Aikebaier·Yalikun;Huang Xiaoyuan;Paerhatijiang null;Yang Xiaopeng(Department of Neurology,the People′s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]新疆维吾尔自治区人民医院神经外科,乌鲁木齐830000

出　　处：《中国医师杂志》2020年第1期63-66,共4页Journal of Chinese Physician

摘　　要：目的分析56例脊髓圆锥区先天性肿瘤外科手术治疗效果,为脊髓圆锥区先天性肿瘤外科手术治疗提供参考信息。方法病例源于2015年1月至2018年2月本院收治的56例脊髓圆锥区先天性肿瘤患者,依据疾病分类实施外科手术治疗,对各类脊髓圆锥区先天性肿瘤患者手术治疗效果进行分析总结。结果术后9个月随访:⑴表皮样囊肿患者18例,16例下肢麻木症状和下肢运动功能明显改善,13例疼痛程度有效减轻,3例早期大小便功能改善不明显;⑵畸胎瘤患者15例,13例下肢麻木无力明显改善,2例下肢麻木无力减轻,3例大小便功能障碍减轻,1例未恢复,未见肿瘤复发;⑶脂肪瘤患者8例,8例均痊愈出院,无大小便功能障碍,生活基本可自理;⑷血管母细胞瘤患者9例,9例脊髓功能均明显改善,5例术后疼痛症状消失,1例疼痛程度明显改善;⑸室管膜瘤患者6例,2例肢体麻木症状明显减轻,1例术后出现尿潴留,2例术后肌力与术前比较无明显变化。结论脊髓圆锥区先天性肿瘤外科手术治疗临床效果明确,结合影像学检查并注意外科手术注意事项,可有效提高脊髓圆锥区先天性肿瘤外科手术治疗效果。Objective To analyze the curative effect of 56 cases with surgical operation of congenital tumor in conus medullaris position,to provide valuable reference information for the surgical operation of congenital tumor in conus medullaris position.Methods The cases were from 56 patients with congenital tumors in conus medullaris position in Xinjiang Uygur municipal people's hospital from January 2015 to February 2018.According to the classifications of congenital tumors in the conus medullaris position,surgical operation was performed on patients.The curative effect of patients with all kinds of congenital tumors in the conus medullaris position was analyzed and summarized.Results After 9 months of the follow-up:⑴There were totally 18 cases of epidermoid cysts,16 cases with obvious improvement in lower limb numbness and lower limb motor function,13 cases with the pain degree effectively relieved and 3 cases without significant improvement in early defecation function.⑵There were 15 cases of teratomas,13 cases without significant improvement in lower extremity numbness,2 cases with reduced lower extremity numbness,3 cases with reduced urination and defecation function disturbance and 1 case not recovered.There was no recurrence of tumor.⑶There were 8 lipoma patients who were cured and discharged without urination and defecation function disturbance.Life was basically self-sustaining.⑷There were 9 cases of hemangioblastoma with significant improvement in spinal cord function,5 cases without postoperative pain symptoms and 1 case with significant improvement in pain degree.⑸There were 6 cases of ependymoma,2 cases with significant reduction on limb numbness symptoms,1 case with urinary retention after surgery.There was no significant change in muscle strength of the 2 cases before and after surgery.Conclusions The clinical effect of surgical operation of congenital tumor in conus medullaris position is clear.Combined with imaging examination and attention to surgical precautions,the surgical treatment effect o

关 键 词：脊髓肿瘤 脊髓圆锥区 外科手术 

分 类 号：R739.42[医药卫生—肿瘤]