| 椎管内副神经节瘤的诊断和手术治疗 |
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| 引用本文： | 林国中,马长城,杨,军,王振宇,谢京城,刘,彬,陈晓东.椎管内副神经节瘤的诊断和手术治疗[J].中国临床神经外科杂志,2020,0(7):424-426. |
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| 作者姓名： | 林国中 马长城 杨 军 王振宇 谢京城 刘 彬 陈晓东 |
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| 作者单位： | 100191 北京，北京大学第三医院神经外科（林国中、马长城、杨 军、王振宇、谢京城、刘 彬、陈晓东） |
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| 摘 要： | 目的 探讨椎管内副神经节瘤的临床特点、显微手术治疗效果。方法 回顾性分析2010年9月至2019年6月显微手术治疗的12例椎管内副神经节瘤的临床资料，均采用后正中入路手术治疗。结果 肿瘤位于腰段椎管内10例、胸段椎管内1例、骶管内1例。12例肿瘤均获全切除，术后病理均为副神经节瘤。术后1例出现伤口脂肪液化，无感染、脑脊液漏。术后随访3~102个月，平均57.67个月，复查MRI未见肿瘤复发；按McCormick分级，Ⅰ级11例，Ⅱ级1例。结论 椎管内副神经节瘤临床罕见，大多为良性无功能性肿瘤，临床表现和影像表现缺乏特异性，术前常难以正确诊断。手术全切肿瘤后大多预后较好，建议术后长期随访
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| 关 键 词： | 椎管内肿瘤 副神经节瘤 显微手术 |
Diagnosis and treatment of intraspinal paraganglioma (report of 12 cases) |
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| LIN Guo-zhong,MA Chang-cheng,YANG Jun,WANG Zhen-yu,XIE Jing-cheng,LIU Bin,CHEN Xiao-dong..Diagnosis and treatment of intraspinal paraganglioma (report of 12 cases)[J].Chinese Journal of Clinical Neurosurgery,2020,0(7):424-426. |
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| Authors: | LIN Guo-zhong MA Chang-cheng YANG Jun WANG Zhen-yu XIE Jing-cheng LIU Bin CHEN Xiao-dong |
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| Affiliation: | Department of Neurosurgery, Peking University Third Hospital, Beijing 100191, China |
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| Abstract: | Objective To summarize the clinical characteristics of intraspinal paraganglioma and discuss the effect of microsurgical resection on intraspinal paraganglioma. Methods The clinical data of 12 patients with intraspinal paraganglioma who underwent microsurgery via posterior median approach from September 2010 to September 2019 were analyzed retrospectively. Results The tumors of 10 patients were located in the lumbar spinal canal, 1 in thoracic spinal canal and 1 in sacral canal. All the tumors were totally resected. Fat liquefaction of wound occurred in one patient. No infection or cerebrospinal fluid leakage were found after the operation. The follow-up period ranged from 3 to 102 months, with an average of 57.67 months. No recurrence or residual tumors were found. McCormick grade Ⅰ was achieved in 11 patients and grade Ⅱ in 1. Conclusions Intraspinal paragangliomas are rare and mostly benign nonfunctional tumors. The clinical and imaging manifestations are lack of specificity, and it is often difficult to diagnose correctly before the operation. The prognosis is good after total resection, and long-term follow-up is recommended postoperatively |
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| Keywords: | Intraspinal tumor Paraganglioma Clinical characteristics Microsurgery |
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