| 哑铃型纵隔神经源性肿瘤的临床诊治分析 |
| |
| 引用本文： | 杨增,刘志东,杨俊,王德江,高胜华. 哑铃型纵隔神经源性肿瘤的临床诊治分析[J]. 中国肿瘤临床与康复, 2011, 0(3): 265-268 |
| |
| 作者姓名： | 杨增 刘志东 杨俊 王德江 高胜华 |
| |
| 作者单位： | 首都医科大学附属北京天坛医院胸外科;首都医科大学附属北京胸科医院胸外科;首都医科大学附属北京天坛医院神经外科; |
| |
| 摘 要： | 目的探讨哑铃型纵隔神经源性肿瘤的临床表现、诊断及外科治疗方法。方法回顾性分析6例哑铃型纵隔神经源性肿瘤的临床表现、影像学检查、病理学检查及治疗方法。结果患者临床症状主要有长期慢性胸背痛,多伴有双下肢的感觉和运动障碍,个别病例无症状。所有病例术前均行胸部MRI检查,结果与术中情况吻合。肿瘤均由胸外科医师与神经外科医师协作一期完全切除。术后胸背痛及感觉和运动障碍明显改善或消失,异常神经系统体征消失。恢复顺利,治愈出院。术后病理:神经鞘瘤4例,神经纤维瘤2例。结论胸部MRI对肿瘤的诊断及指导手术治疗具有重要价值。手术治疗应由胸外科医师与神经外科医师协作一期切除椎管内外肿瘤,先切除椎管内肿瘤,然后再切除椎旁胸内肿瘤,根据病变的位置、形态、大小采取不同的手术方式。
|
| 关 键 词： | 纵隔 哑铃型肿瘤 神经源性肿瘤 诊断 外科治疗 |
Analysis on diagnosis and surgical treatment of dumbbell mediastinal neurogenic tumor |
| |
| YANG Zeng,LIU Zhi-dong,YANG Jun,et al. Analysis on diagnosis and surgical treatment of dumbbell mediastinal neurogenic tumor[J]. Chinese Journal of Clinical Oncology and Rehabilitation, 2011, 0(3): 265-268 |
| |
| Authors: | YANG Zeng LIU Zhi-dong YANG Jun et al |
| |
| Affiliation: | YANG Zeng1,LIU Zhi-dong2,YANG Jun3,et al(1.Department of Thoracic Surgery,2.Department of Thoracic Surgery,The Beijing Chest Hospital Affiliated to Capital Medical University,Beijing 101149,China,3.Neurosurgery,The Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100050,China) |
| |
| Abstract: | Objective To investigate the clinical manifestations,diagnosis and surgical treatment of dumbbell mediastinal neurogenic tumor.Methods Retrospective analysis was made on 6 dumbbell mediastinal neurogenic tumor cases in terms of clinical manifestation,iconographic examination,pathologic examination and surgical treatment.Results Main clinical symptoms in patients were chronic thoracodorsal pain,usually accompanied with lower extremity sensory and motor disorders,individual cases were asymptomatic.All patient... |
| |
| Keywords: | Mediastinum Dumbbell tumor Neurogenic tumor Diagnosis Surgical treatment |
| 本文献已被 CNKI 维普 等数据库收录！ |
|
