远外侧枕下入路切除高颈段椎管内外哑铃形肿瘤(附4例报告)

• 作 者: 周玉璞 沈建康 刘红林 陈小兵 段国庆 李玉杰
• 机 构: 河南大学淮河医院神经外科,上海第二医科大学瑞金医院神经外科,河南大学淮河医院神经外科,河南大学淮河医院神经外科,河南大学淮河医院神经外科,河南大学淮河医院神经外科 475000开封市,475000开封
• 出 处: 中国脊柱脊髓杂志
• 发表日期: 2002年04期
• 关键词: 高颈段 脊髓肿瘤 手术入路

目的 :探讨经远外侧枕下入路切除高颈段椎管内外哑铃形肿瘤的治疗效果及手术技巧。方法 :回顾分析 4例经远外侧枕下入路切除高颈段椎管内外哑铃形肿瘤病人的临床资料及手术治疗结果。结果 :肿瘤全切 3例 ,1例因肿瘤包绕椎动脉而次全切除。所有患者术后恢复良好 ,未出现与手术入路有关的严重并发症。结论 :远外侧枕下入路具有手术路径短、视野宽广、显露硬膜内外病变清楚等优点 ,是治疗高颈段椎管内外哑铃形肿瘤的一种实用手术入路

Objective: To investigate the therapeutic effect and surgical technique of resection of dumbbell tumor in the high cervical canal through distal lateral suboccipital approach. Methods: The clinical data and surgical treatment results of 4 cases of dumbbell tumor excised from the high cervical canal through distal lateral suboccipital approach were retrospectively analyzed. Results: Three cases were completely excised and one case was subtotally resected because of the tumor surrounding the vertebral artery. All patients recovered well and did not experience serious complications associated with surgical approach. Conclusion: The far-lateral suboccipital approach has the advantages of short operative path, wide field of vision and clear lesions both inside and outside the dura mater, and is a practical surgical approach for the treatment of dumbbell tumors in the high cervical canal