脊柱旁与椎管内节细胞神经瘤的临床诊断及外科手术治疗

目的探讨脊柱旁与椎管内节细胞神经瘤的临床诊断及外科手术治疗。方法回顾性分析15例脊柱旁与椎管内节细胞神经瘤手术治疗患者的临床资料。15例患者术前均行CT检查,其中2例椎管内病变患者同时行MRI检查。行神经显微手术患者2例,行腔镜手术3例,其余10例患者行开放性手术。结果本组患者中,2例患者术前依据影像学检查明确诊断为节细胞神经瘤,其他13例患者术后经病理学检查确诊。术后病理诊断均为节细胞神经瘤,其中A型13例、B型0例、C型2例。肿瘤次全切除者9例,全切除者6例;术后均未行放化疗。2例全切除患者术后出现严重并发症。随访2-47.8个月,平均（25.96±4.08）个月,15例患者均无肿瘤复发及...

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Bibliographic Details
Published in临床神经外科杂志 Vol. 14; no. 5; pp. 356 - 359
Main Author 王金龙;刘亚军;罗坤;郭运发;吴昊
Format Journal Article
LanguageChinese
Published 新疆医科大学第一附属医院神经外科中心, 乌鲁木齐,830054 2017
Subjects
手术治疗
疗效
节细胞神经瘤
诊断
诊断
curative effects
节细胞神经瘤
ganglioneuroma
diagnosis
surgical treatment
手术治疗
疗效
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ISSN1672-7770
DOI10.3969/j.issn.1672-7770.2017.05.009

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Summary:目的探讨脊柱旁与椎管内节细胞神经瘤的临床诊断及外科手术治疗。方法回顾性分析15例脊柱旁与椎管内节细胞神经瘤手术治疗患者的临床资料。15例患者术前均行CT检查,其中2例椎管内病变患者同时行MRI检查。行神经显微手术患者2例,行腔镜手术3例,其余10例患者行开放性手术。结果本组患者中,2例患者术前依据影像学检查明确诊断为节细胞神经瘤,其他13例患者术后经病理学检查确诊。术后病理诊断均为节细胞神经瘤,其中A型13例、B型0例、C型2例。肿瘤次全切除者9例,全切除者6例;术后均未行放化疗。2例全切除患者术后出现严重并发症。随访2-47.8个月,平均（25.96±4.08）个月,15例患者均无肿瘤复发及转移。结论节细胞神经瘤早期无任何特异性临床表现,实验室检查无异常,影像学检查可辅助诊断,最终确诊要依靠病理学检查。节细胞神经瘤手术治疗（全切或次全切除）的效果较好,患者大多预后良好。
Bibliography:WANG Jin-long, LIU Ya-jun, LUO Kun, et al.（ Department of Neurosurgery, the First Affiliated Hosipital of Xinjiang Medical University, Urumqi 830054, China）
ganglioneuroma; diagnosis ; surgical treatment ; curative effects
32-1727/R
Objective To investigate the clinical diagnosis and surgical treatment of paravertebral and spinal ganglioneuroma. Methods Clinical data of 15 patients with paravertebral and spinal ganglioneuroma were analyzed retrospectively. 15 patients were performed CT scanning, MR imaging was obtained in 2 patients. All 15 patients underwent surgical treatment, including 2 microsurgery treatments ,3 endoscopic surgeries and the others with open surgeries. Results Of 15 patients ,2 were diagnosed as ganglioneuroma by the imaging data before operation, while the other cases were diagnosed by pathology. After operation, the pathological diagnosis showed 13 cases of ganglioneuroma（ type A） and 2 ganglioneuroblastoma （type C）. Subtotal removal was achieved in 9 patients and total removal in 6.2 case
ISSN:1672-7770
DOI:10.3969/j.issn.1672-7770.2017.05.009