哑铃型纵隔神经源性肿瘤的外科治疗

目的：探讨哑铃型纵隔神经源性肿瘤的临床特征及外科治疗原则，以提高手术疗效。方法：分析7例哑铃型纵隔神经源性肿瘤的临床特征和影像学特点，所有病人均经手术治疗和病理证实。结果：肿瘤全部切除5例，次全切除2例。治愈5例，复发2例。结论：一期分别切除哑铃型纵隔神经源性肿瘤的胸腔内部分和椎管内部分。防止椎管内出血、脊髓损伤。关胸时勿使椎间孔切开处与胸腔相通，严密缝合硬脊膜，防止脑脊液漏。

Surgical treatment for mediastinal neurogenic dumbbell tumor

Objective To study the clinical feature and the surgical principle for mediastinal neurogenic dumbbell tumor. Methods 7 patients were treated surgically, and all were proved by operation and pathological examination. Results Five patients recovered uneventfully and returned to normal life, two patients recurred because of canceration of the tumor and residual tumor in spinal canal. Conclusion A collaborated surgical approach with thoracic surgeon and neurosurgeon or orthopedic surgeon is recommended for mediastinal neurogenic dumbbell tumor, and also one stage removal if possible is recommended. Don't make the pleural cavity having passage with spinal canal; avoid injuring the spinal cord, bleeding in spinal canal and leaking of cerebrospinal fluid.