腰椎侵袭性副神经节瘤1例报道及文献复习  

Invasive paraganglioma of thelumbar spine:a case report and literature review

作　　者：邱钰钦 胡豇 张坤[2] 万仑 王飞[2] QIU Yuqin;HU Jiang;ZHANG Kun;WANG Lun;WANG Fei(School of Medicine,University of Electronic Science and Technology,Chengdu,Sichuan 610054,China;Department of Orthopedics,Sichuan Provincial People’s Hospital/Affiliated Hospital of University of Electronic Science and Technology,Chengdu,Sichuan 610072,China)

机构地区：[1]电子科技大学医学院,四川成都610054 [2]电子科技大学附属医院/四川省人民医院骨科,成都610072

出　　处：《重庆医学》2022年第S02期55-58,共4页Chongqing medicine

摘　　要：目的探讨椎体侵袭性腰椎副神经节瘤(PGL)诊治方法。方法回顾性分析2022年4月收治的1例腰3椎体侵袭性PGL患者的临床资料,CT检查提示腰椎骨质破坏,软组织肿块突向椎管内,硬膜囊受压,椎管狭窄。行椎体肿瘤全脊椎切除术。对比手术前后影像学资料及疗效。结果患者顺利进行手术治疗,术后恢复良好,术后3个月影像学检查未见复发及转移。结论对于存在神经压迫症状的腰椎侵袭性PGL,全脊椎根治性切除术是疗效确切的治疗方法,术后终身随访对于监测该病的复发及转移尤为重要。Objective Discussion on diagnosis and treatment of lumbar paraganglioma.Methods Retrospective analysis of the clinical data of a patient with invasive paraganglioma of the third lumbar vertebra.Computed tomography revealed lumbar bone destruction,soft tissue mass protruding into the spinal canal,compression of the dural sac,and spinal canal stenosis.The patient underwent total spondylotomy for vertebral tumor.The results were compared by preoperative and postoperative imaging data.Results The patient underwent smooth surgical treatment and recovered well after surgery.No recurrence or metastasis was found in imaging examination 3 months after surgery.Conclusion For lumbar invasive paraganglioma with symptoms of nerve compression,radical total spinal resection is an effective treatment,and lifelong follow-up is particularly important for monitoring the recurrence and metastasis of the disease.

关 键 词：腰椎肿瘤 副神经节瘤 脊髓压迫症 根治性手术 椎体全切术 

分 类 号：R73[医药卫生—肿瘤]