CAJ | 학술논문

目的探讨不同手术入路对不同分型腰椎椎旁神经鞘瘤切除的可行性及其治疗效果.方法回顾性分析从2000年至2013年收治的27例腰椎椎旁神经鞘瘤患者的临床资料,并根据MRI、CT影像学对其进行分型,分为Ⅰ、Ⅱ、Ⅲ型,根据分型设计手术入路.结果 27例中,男18例,女9例;年龄28 ～64岁,平均52.9岁.Ⅰ型6例,Ⅱ型9例,Ⅲ型12例.本组27例中,经中线直切口入路9例,弧形切口入路10例,旁中线直切口入路8例.所有肿瘤均做到了完全切除,除5例术后遗留载瘤神经支配区的感觉障碍外,其余患者均无明显神经功能障碍.结论根据肿瘤的分型设计手术入路,可使肿瘤得到充分地暴露,提高肿瘤的全切率.
목적 탐토불동수술입로대불동분형요추추방신경초류절제적가행성급기치료효과.방법 회고성분석종2000년지2013년수치적27례요추추방신경초류환자적림상자료,병근거MRI、CT영상학대기진행분형,분위Ⅰ、Ⅱ、Ⅲ형,근거분형설계수술입로.결과 27례중,남18례,녀9례;년령28 ～64세,평균52.9세.Ⅰ형6례,Ⅱ형9례,Ⅲ형12례.본조27례중,경중선직절구입로9례,호형절구입로10례,방중선직절구입로8례.소유종류균주도료완전절제,제5례술후유류재류신경지배구적감각장애외,기여환자균무명현신경공능장애.결론 근거종류적분형설계수술입로,가사종류득도충분지폭로,제고종류적전절솔.
Objective The purpose of this study was to investigate the feasibihty and operative outcome of the different approaches for different types of lumbar paravertebral neurilemmoma.Methods 27 cases of lumbar paravertebral nerve sheath tumors from 2000 to 2013 were retrospectively analyzed,According to MRI and CT,the tumors were divided into three types as type Ⅰ,Ⅱ and Ⅲ.Results There were 18 males and 9 females,aging from 28 -64 years old(average 52.9 years old).According to MRI,the tumors were divided into three types as type Ⅰ,Ⅱ and Ⅲ.There were 6 cases of type Ⅰ,9 type Ⅱ and 12 type Ⅲ.9 cases were operated through midline approaches,10paramidline arc incision line and laminectomy approaches,and 8 para-midline inter-musculature approaches.All the tumors were resected totally through operation.There was no operative comphcation.During the follow-up period,there was no neurological disorder except 5 patients with sensory dysfunction of innervations.Conclusions Surgical approaches should be planned according to the classifications of lumbar paravertebral nerve sheath tumors,which could make tumors be satisfactorily exposed and totally removed.