中华神经外科杂志
中華神經外科雜誌
중화신경외과잡지
Chinese Journal of Neurosurgery
2012年
6期
569-571
,共3页
顾士欣%徐启武%陈宏%孙兵%寿佳俊%顾文韬%车晓明
顧士訢%徐啟武%陳宏%孫兵%壽佳俊%顧文韜%車曉明
고사흔%서계무%진굉%손병%수가준%고문도%차효명
脊髓髓内肿瘤%室管膜下瘤%外科手术
脊髓髓內腫瘤%室管膜下瘤%外科手術
척수수내종류%실관막하류%외과수술
Intramedullary tumor%Subependymoma%Surgical procedures,operative
目的 总结脊髓髓内室管膜下瘤的诊断要点和治疗方法.方法 回顾性分析2002-2011年上海华山医院神经外科手术病理证实的10例病例,对其影像学特征、病理特点、手术方法和结果进行总结和讨论.结果 10例患者中,肿瘤全切除7例,近全切除2例,大部分切除1例.术后6例症状改善,4例加重.随访时间为1-8年,肿瘤全切和近全切除患者均没有复发.结论 磁共振上的特征性表现有助于术前诊断,显微外科手术是治疗该病的最有效手段,病灶全切除患者预后较好.
目的 總結脊髓髓內室管膜下瘤的診斷要點和治療方法.方法 迴顧性分析2002-2011年上海華山醫院神經外科手術病理證實的10例病例,對其影像學特徵、病理特點、手術方法和結果進行總結和討論.結果 10例患者中,腫瘤全切除7例,近全切除2例,大部分切除1例.術後6例癥狀改善,4例加重.隨訪時間為1-8年,腫瘤全切和近全切除患者均沒有複髮.結論 磁共振上的特徵性錶現有助于術前診斷,顯微外科手術是治療該病的最有效手段,病竈全切除患者預後較好.
목적 총결척수수내실관막하류적진단요점화치료방법.방법 회고성분석2002-2011년상해화산의원신경외과수술병리증실적10례병례,대기영상학특정、병리특점、수술방법화결과진행총결화토론.결과 10례환자중,종류전절제7례,근전절제2례,대부분절제1례.술후6례증상개선,4례가중.수방시간위1-8년,종류전절화근전절제환자균몰유복발.결론 자공진상적특정성표현유조우술전진단,현미외과수술시치료해병적최유효수단,병조전절제환자예후교호.
Objective To summarize the clinial characteristics and treatment of subependymoma in spinal cord.Methods A total of 10 cases of subependymoma in spinal cord from 2002 to 2011in the department of neurosurgery Shanghai Huashan hospital were enrolled.Results In all the 10 cases,total removal was performed in 7 patients,subtotal in 2 and partial in 1.Postoperative symptom was improved in 6 patients and decreased in 4 patients.A follow - up was performed from 1to 8 years,no recurrence occurred in the patients with tumor totally or subtotally removed.Conclusions Subependymoma in spinal cord is a rare kind of tumor in the central nerve system.The characteristic in MRI may help us to make the correct diagnosis before operation.The best treatment for subependymoma is surgical resection,patients with tumor totally removed may have good outcome.
