颈后三角入路在颈椎椎管内外沟通瘤手术中的应用(附2例报道并文献复习)  

Outcomes of microsurgery through posterioRcervical triangle approach foRpatients with cervical dumbbell tumors:report of two cases and literature review

作　　者：冯煜 航盖 白三莉 谢天浩 丁慧超 杜威 姚国杰 宋健 徐国政 FENG Yu;HANG Gai;BAI San-li;XIE Tian-hao;DING Hui-chao;DU Wei;YAO Guo-jie;SONG Jian;XU Guo-zheng(School of Medicine,Wuhan University of Science and Technology,Wuhan 430065,China;Department of Neurosurgery,General Hospital of Central TheateRCommand,PLA,Wuhan 430070,China)

机构地区：[1]武汉科技大学医学院,武汉430065 [2]中国人民解放军中部战区总医院神经外科,武汉430070

出　　处：《中国临床神经外科杂志》2023年第1期30-33,共4页Chinese Journal of Clinical Neurosurgery

基　　金：武汉市中青年医学骨干人才培养工程。

摘　　要：目的探讨颈后三角入路在颈椎椎管内外沟通瘤手术中的应用效果。方法回顾性分析2020~2021年经颈后三角入路显微手术治疗的2例颈椎椎管内外沟通瘤的临床资料,并结合相关文献进行分析。结果2例肿瘤均全切除。术后病理结果均为神经鞘瘤。术后分别随访4、15个月,无肿瘤复发,无颈椎畸形,无神经功能障碍。结论对合适的颈椎椎管内外沟通瘤,颈后三角入路手术对神经和肌肉的损伤小,对脊柱稳定性无明显影响,疗效满意。Objective To investigate the outcomes of microsurgery through the posterioRcervical triangle approach foRpatients with cervical dumbbell tumors.Methods The clinical data of two patients with cervical dumbbell tumors who underwent surgery via the posterioRcervical triangle approach from 2020 to 2021 were analyzed retrospectively.The related literature was reviewed.Results Total tumoRresection was achieved in the two patients.Postoperative pathological examination showed schwannomas in the two patients.Fourand fifteen-month follow-ups were performed on the two patients,respectively.There was no tumoRrecurrence,cervical vertebra malformation,oRneurological dysfunction.Conclusions Microsurgery through the posterioRcervical triangulaRapproach has good outcomes foRpatients with cervical dumbbell tumors,which has little damage to nerves and muscles and no significant effect on the stability of the spine.

关 键 词：颈椎椎管内外沟通瘤 显微手术 颈后三角入路 疗效 

分 类 号：R739.42[医药卫生—肿瘤] R651.11[医药卫生—临床医学]