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显微手术治疗高颈段哑铃型椎管肿瘤
引用本文:关靖宇,魏学忠,韩松,郑春雷,李凤强,项忠刚,秦欣.显微手术治疗高颈段哑铃型椎管肿瘤[J].中国医师进修杂志,2006,29(26):32-34.
作者姓名:关靖宇  魏学忠  韩松  郑春雷  李凤强  项忠刚  秦欣
作者单位:1. 110016,沈阳军区总医院神经外科
2. 辽宁省北票市第二人民医院神经外科
摘    要:目的总结应用显微手术治疗高颈段哑铃型椎管肿瘤的临床经验。方法12例高颈段哑铃型椎管肿瘤患者分别采用颈后正中切口及颈前外侧切口,在显微镜下切除肿瘤。结果肿瘤完全切除10例,大部分切除2例。术后临床症状均有明显改善。结论熟悉高位颈段脊髓及周围解剖关系,仔细分析术前影像学资料,熟练采用显微手术技术是治疗高颈段哑铃型椎管肿瘤并取得良好临床效果的关键。

关 键 词:显微手术  哑铃型肿瘤  高颈段脊髓
修稿时间:2006年6月20日

Microsurgical treatment of dumbbell tumors of high cervical spine
GUAN Jing-yu,WEI Xue-zhong,HAN Song,ZHENG Chun-lei,LI Feng-qiang,XIANG Zhong-gang,QIN Xin.Microsurgical treatment of dumbbell tumors of high cervical spine[J].Chinese Journal of Postgraduates of Medicine,2006,29(26):32-34.
Authors:GUAN Jing-yu  WEI Xue-zhong  HAN Song  ZHENG Chun-lei  LI Feng-qiang  XIANG Zhong-gang  QIN Xin
Abstract:Objective To summarize experiences of microsurgical treatment of dumbbell tumors of the high cervical spine. Methods A series of 12 patients with dumbbell tumors of the high cervical spine were treated by using microsurgical techniques through posterior approach or antero-lateral approach. Results Complete resection was achieved in 10 patients. Postoperative neurological symptoms improved greatly in all. Conclusion The key points of treatment in dumbbell tumors of the high cervical spine are to analyze the preoperative image carefully and have knowledge about anatomy of high cervical spine as well as the experience of microsurgical technique.
Keywords:Microsurgery  Dumbbell tumor  High cervical spine  
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