| 脊髓髓内室管膜瘤的外科治疗策略与疗效分析 |
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| 引用本文： | 王贵怀,杨俊,王忠诚.脊髓髓内室管膜瘤的外科治疗策略与疗效分析[J].中国微侵袭神经外科杂志,2010,15(3):99-102. |
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| 作者姓名： | 王贵怀 杨俊 王忠诚 |
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| 作者单位： | 首都医科大学附属北京天坛医院神经外科,100050 |
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| 摘 要： | 目的探讨脊髓髓内室管膜瘤的治疗策略。方法对210例髓内室管膜瘤病人的神经功能状况、肿瘤切除程度、术后并发症与疗效等进行回顾性分析。均行肿瘤显微切除术,椎板复位135例。结果肿瘤全切除195例,次全及大部切除15例。术后行气管切开8例,均为延髓及高颈髓部位的巨大肿瘤病人。术后门诊复查及电话随访130例,随访时间3个月~9年;神经功能改善95例(73%),明显加重21例(16%),无变化14例(11%);术后复发5例,其中肿瘤位于圆锥部分3例,胸髓1例,延颈髓1例。结论大多数髓内室管膜瘤通过早期诊断与及时手术,可获得肿瘤全切除,预后良好。对于严重黏连的肿瘤不应勉强追求全切除。术前功能分级差者,术后神经功能障碍易加重。
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| 关 键 词： | 脊髓肿瘤 室管膜瘤 显微外科手术 预后 |
Treatment strategies and efficacy analysis of intramedullary spinal cord ependymoma |
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| Wang Guihuai,Yang Jun,Wang Zhongcheng.Treatment strategies and efficacy analysis of intramedullary spinal cord ependymoma[J].Chinese Journal of Minimally Invasive Neurosurgery,2010,15(3):99-102. |
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| Authors: | Wang Guihuai Yang Jun Wang Zhongcheng |
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| Institution: | Wang Guihuai,Yang Jun,Wang Zhongcheng Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China |
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| Abstract: | Objective To investigate the clinical treatment strategies of intramedullary spinal ependymoma. Methods Clinical data of 210 patients with intramedullary spinal ependymoma were analyzed retrospectively, including pre- and postoperative neurological status, extent of tumor resection, postoperative complications and efficacy, et al. All tumors underwent microsurgical resection, and 135 patients received lamina reduction. Results Total tumor resection was achieved in 195 cases, and subtotal or partial removal ... |
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| Keywords: | spinal cord tumor ependymoma microsurgery prognosis |
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