椎管内神经鞘瘤68例显微外科治疗

• 作 者: 李成义 刘宗明 林贵军 胡世文 刘爱贤 贾继明 饶枝国 闫昕 张文毅 黄旭
• 机 构: 中国航天科工集团中心医院神经外科,中国航天科工集团中心医院神经外科,中国航天科工集团中心医院神经外科,中国航天科工集团中心医院神经外科,中国航天科工集团中心医院神经外科,中国航天科工集团中心医院神经外
• 出 处: 中国航天医药杂志
• 发表日期: 2003年05期
• 关键词: 神经鞘瘤 显微手术

目的探讨椎管内神经鞘瘤显微外科治疗的方法和效果。方法对1994年1月至2002年12月显微手术治疗的68例椎管内神经鞘瘤进行回顾性分析。结果68例患者中发现肿瘤73个,手术切除69个。症状消失或显著改善者62例,占91.2%,部分改善4例,占5.9%,无改善或症状加重2例,占2.9%,无死亡病例。术后随访6月～5年,未发现任何并发症。结论术前进行MR检查,术中根据多个体表标志反复核对后放置标记物进行X线准确定位,微侵袭显微手术治疗椎管内神经鞘瘤能获得满意疗效。

Objective To explore the method and effect of microsurgical treatment of schwannoma in the spinal canal. Methods A retrospective analysis was performed on 68 cases of schwannoma of the spinal canal treated with microsurgery from January 1994 to December 2002. Results Totally 73 tumors were found in 68 patients and 69 were resected. Sixty-two patients (91.2%) had symptoms disappeared or improved significantly, 4 patients partially improved (5.9%), 2 patients had no improvement or 2 symptoms (2.9%), and no deaths occurred. Follow-up after 6 months to 5 years, did not find any complications. Conclusions MR imaging is performed preoperatively, and intraoperative X-ray positioning is performed according to multiple body surface markers after repeated checkups. Microinvasive microsurgical treatment of spinal nerve sheath tumors can achieve satisfactory results.