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26例臂丛神经鞘瘤的显微手术治疗
引用本文:李长虹,劳杰,卢和平,孙贤德. 26例臂丛神经鞘瘤的显微手术治疗[J]. 中国现代手术学杂志, 2011, 15(6): 467-469
作者姓名:李长虹  劳杰  卢和平  孙贤德
作者单位:1. 湖南省常德市第一人民医院骨一科,常德,415003
2. 上海复旦大学附属华山医院手外科,上海,200040
摘    要:
目的探讨臂丛神经鞘瘤显微手术的治疗要点。方法回顾性总结2000年1月~2009年10月我院收治的26例臂丛神经鞘瘤患者的临床资料,其中臂丛上干11例,中干10例,内侧束2例,外侧束1例,C5-71例,C6-71例,均实行显微镜下手术切除。结果 26例患者臂丛神经鞘瘤均完整切除,术后无臂丛神经受损表现。病理提示Antoni A型18例,Antoni B型8例。随访6个月到10年,无一例复发。结论臂丛神经鞘瘤的显微外科手术治疗应尽量避开神经纤维,保护好神经干,逐层剥离包膜,将瘤体完整切除,多能获得较满意的疗效。

关 键 词:臂丛  神经鞘瘤  显微外科手术

Microsurgical Treatment of 26 Cases of Schwannoma in Brachial Plexus
LI Chan-hong,LAO Jie,LU He-ping,SUN Xian-de. Microsurgical Treatment of 26 Cases of Schwannoma in Brachial Plexus[J]. Chinese Journal of Modern Operative Surgery, 2011, 15(6): 467-469
Authors:LI Chan-hong  LAO Jie  LU He-ping  SUN Xian-de
Affiliation:LI Chan-hong,LAO Jie,LU He-ping,SUN Xian-de(the First Department of Orthopedics,the First People's Hospital of Changde,Changde 415003,Hunan,China)
Abstract:
Objective To investigate the key points of the microsurgical treatment of schwannomas in brachial plexus.Methods There were twenty-six cases of schwannoma in brachial plexus verified with pathology and clinical from February 2000 to October 2009.There were 11 located at the superior trunk of brachial plexus,10 at the middle trunk,2 at the medial cord,1 at the lateral cord,1 at the 5th and 6th cervical nerve roots and 1 at the 6th and 7th cervical nerve roots.Microsurgical removal of the tumors was done in a...
Keywords:brachial plexus  neurilemmoma  microsurgery  
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