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椎管内神经鞘瘤68例显微外科治疗
引用本文:李成义,刘宗明,林贵军,胡世文,刘爱贤,贾继明,饶枝国,闫昕,张文毅,黄旭. 椎管内神经鞘瘤68例显微外科治疗[J]. 中国现代医药杂志, 2003, 5(5): 16-18
作者姓名:李成义  刘宗明  林贵军  胡世文  刘爱贤  贾继明  饶枝国  闫昕  张文毅  黄旭
作者单位:100039,北京,中国航天科工集团中心医院神经外科
摘    要:目的探讨椎管内神经鞘瘤显微外科治疗的方法和效果。方法对1994年1月至2002年12月显微手术治疗的68例椎管内神经鞘瘤进行回顾性分析。结果68例患者中发现肿瘤73个,手术切除69个。症状消失或显著改善者62例,占91.2%,部分改善4例,占5.9%,无改善或症状加重2例,占2.9%,无死亡病例。术后随访6月~5年,未发现任何并发症。结论术前进行MR检查,术中根据多个体表标志反复核对后放置标记物进行X线准确定位,微侵袭显微手术治疗椎管内神经鞘瘤能获得满意疗效。

关 键 词:神经鞘瘤  显微手术
修稿时间:2003-06-11

Microsurgical treatment of intraspinal neurinomas
Li Chengyi,Liu Zongming,Lin Guijun,et al.. Microsurgical treatment of intraspinal neurinomas[J]. Modern Medicine Journal of China, 2003, 5(5): 16-18
Authors:Li Chengyi  Liu Zongming  Lin Guijun  et al.
Affiliation:Li Chengyi,Liu Zongming,Lin Guijun,et al.Dept of Neurosurgery of the Central Hospital of the Aerospace Bureau,Beijing100039
Abstract:Objective To evaluate the methods and results o f microsurgical treatment of intraspinal neurinomas.Methods A retrospective analysis had been ma de of 68patients with intraspinal neurinomas operated on from January 1994to December 2002.Results There were 73cases of 68patients,69cases of intraspinal neurinomas were treated by microsurgical operated.Clinical symptoms disappeared in 62patients(91.2%),partially relieved in 4patients(5.9%),deterioratted in 2patients(3.9%).No patient died.Postoperative following -up from 6months to 5years dis covered no complications.Con-clusion With ascertaining the precise opera tive location according to several b ody -superface marker,introoperative X -ray scan films,and pre -operatively MRI ,minimally invasive microsurgery o f intraspinal neurinomas can gain sa tisfactory outcome.[
Keywords:Intraspinal neurinomas Microsurgical treatment  
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