脊髓胶质瘤诊疗中国专家共识  

Chinese expert consensus on diagnosis and treatment of spinal cord glioma

作　　者：中国抗癌协会神经肿瘤专业委员会脊髓脊柱肿瘤学组 中国医师协会神经外科医师分会脊髓脊柱专业组 世界华人神经外科协会脊柱脊髓专业委员会 王贵怀[2] 陈忠平[3] 荆林凯 陆洋[2] 雷聃 Spinal Cord and Spine Oncology Group of Chinese Society of Neuro-oncology;Spinal Cord and Spine Professional Group of Chinese Congress of Neurological Surgeons;Spine and Spinal Cord Professional Committee of International Chinese Neurosurgical Sciences;Wang Guihuai;Chen Zhongping(不详;Department of Neurosurgery,Beijing Tsinghua Changgung Hospital,Tsinghua University,Bejing 102218,China;Department of Neurosurgery,Sun Yat-sen University Cancer Center,Guangzhou 510060,China)

机构地区：[1]不详 [2]清华大学附属北京清华长庚医院神经外科,北京102218 [3]中山大学肿瘤防治中心神经外科,广州510060

出　　处：《中华医学杂志》2024年第37期3478-3489,共12页National Medical Journal of China

摘　　要：脊髓胶质瘤是一组起源于脊髓胶质细胞的肿瘤,其起病隐匿,患者早期可有感觉障碍、运动障碍和括约肌功能障碍,疾病发展到一定程度时可导致瘫痪和呼吸困难,甚至死亡。脊髓承担着神经传导通路的作用,同时也是躯体与内脏活动的低级中枢和初级神经反射中枢,损伤后自我修复能力有限,肿瘤及治疗所致的脊髓损伤可能是永久性的,可造成巨大的经济和社会负担。为了进一步规范脊髓胶质瘤的诊疗方案,专家组根据国内外脊髓胶质瘤的诊疗现状制订了《脊髓胶质瘤诊疗中国专家共识》。本共识对脊髓胶质瘤的流行病学、自然病程与临床表现、诊断、治疗、随访和预后等方面进行了详细阐述,并制订17条推荐意见,旨在为医务人员以及其他相关人员提供参考。Spinal cord glioma is a group of tumors originated from spinal cord glial cells.They typically have an insidious onset,with early symptoms in patients including sensory disturbances,motor disorder,and sphincter dysfunction.When the course of disease develops to a certain extent,it can lead to paralysis,dyspnea,and even result in death.The spinal cord bears the role of nerve conduction,and acts as a lower central hub for somatic and visceral activities and primary neural reflexes.Because the self-repair ability after injury is limited,spinal cord injury caused by tumor and treatment may be permanent,potentially causing huge economic and social burden.To further standardize the diagnosis and treatment of spinal cord glioma,the expert group formulated The Chinese Expert Consensus on the Diagnosis and Treatment of Spinal Cord Glioma according to the current situation of diagnosis and treatment of spinal cord glioma at home and abroad.This consensus elaborates the epidemiology,natural course,clinical manifestations,diagnosis,treatment,follow-up,and prognosis of spinal gliomas and formulates 17 recommendations.It aims to offer reference for medical personnel and other related individuals.

关 键 词：脊髓 胶质瘤 诊断 治疗 手术 辅助治疗 

分 类 号：R739.42[医药卫生—肿瘤]