| 儿童脊髓内肿瘤81例 |
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| 引用本文： | 景治涛,罗世祺,甲戈,马振宇,张玉琪. 儿童脊髓内肿瘤81例[J]. 实用儿科临床杂志, 2006, 21(9): 561-562 |
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| 作者姓名： | 景治涛 罗世祺 甲戈 马振宇 张玉琪 |
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| 作者单位： | 1. 中国医科大学附属第一医院
2. 首都医科大学北京天坛医院,神经外科,北京,100050 |
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| 摘 要： | 目的总结儿童脊髓内肿瘤的病理特点、临床表现和手术治疗效果,探讨其特点和规律。方法81例儿童髓内肿瘤均经显微手术切除和病理证实,进行回顾性分析。结果儿童髓内肿瘤以星形细胞瘤24例(29.6%)、室管膜瘤13例(16.0%)和表皮样囊肿11例(13.6%)为多见,其运动系统损害是儿童髓内肿瘤最常见首发症状,其次为疼痛、感觉障碍、括约肌功能障碍等。放疗用于高度恶性肿瘤。椎板成形术可以有效减少脊柱畸形发生率。结论运动系统损害是儿童髓内肿瘤最常见首发症状,感觉障碍较成人发生率低。积极手术切除能获得满意疗效。
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| 关 键 词： | 儿童 髓内肿瘤 显微手术 |
| 文章编号： | 1003-515X(2006)09-0561-02 |
| 收稿时间： | 2006-03-18 |
| 修稿时间： | 2006-03-18 |
Eighty-One Cases of Pediatric Intramedullary Tumors |
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| JING Zhi-tao,LUO Shi-qi,JIA Ge,MA Zhen-yu,ZHANG Yu-qi. Eighty-One Cases of Pediatric Intramedullary Tumors[J]. Journal of Applied Clinical Pediatrics, 2006, 21(9): 561-562 |
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| Authors: | JING Zhi-tao LUO Shi-qi JIA Ge MA Zhen-yu ZHANG Yu-qi |
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| Affiliation: | Department of Neurosurgcry,Beijing Tiantan Hospital,Capital University of Modical Sciences,Beijing 100050,China |
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| Abstract: | Objective To summarize the pathology,clinical presentations,microsurgical treatments and to investigate the rules of pediatric intramedullary tumors.Methods Eighty-one patients with pediatric intramedullary tumors proved by histopathology were treated by microsurgery,which were analyzed retrospectively.Results Astrocytomas(29.6%),ependymomas(16.0%),epidermoids(13.6%) could be frequently seen in pediatric intramedullary tumors.Motor function damage was frequent.Next was pain,sense damage and sphincter dysfunction.Radiotherapy was used on malignant tumors after operation.Laminoplasty can effectively decrease the rate of spinal deformities.Conclusion Motor function damage is the most common symptoms,and sense damage is lower than adult,and radical microsurgery can obtain satisfactory results. |
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| Keywords: | child intramedullary tumors microsurgery |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
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