摘要
目的总结钙化脊膜瘤的显微手术经验。方法回顾性分析24例钙化脊膜瘤患者的临床资料。肿瘤位于颈椎管内2例、颈胸段椎管内2例、胸椎管内20例;24例患者均行显微手术治疗。结果术中发现肿瘤呈部分钙化者19例,骨片状钙化者3例,完全钙化者2例;手术时间平均为181.6min,术中出血量平均为189.6ml。22例肿瘤全切除(simpsonⅠ级5例,其余为simpsonⅡ级),2例次全切除。术后病理学结果均为脊膜瘤,均伴有钙化。术后21例患者症状均有不同程度改善;3例恶化,经保守治疗后好转。结论钙化脊膜瘤手术难度大,术后神经功能障碍发生率高,合理应用显微神经外科技术可提高手术疗效。
Objective To summarize the experience in mierosurgieally treating the calcified spinal meningiomas. Methods The clinical data of 24 patients with spinal calcified meningiomas confirmed by pathological examination were analyzed retrospectively, including the mierosurgieal procedure, imaging characteristics and therapeutic outcomes. Of 24 spinal meningiomas, 2 located in the eervieal segment, 2 located in the eervieothoracie segment and 20 in the thoraeie segment of the spinal cords. Results Of 24 patients with spinal meningiomas, 22 received total removal of the tumors and 2 subtotal. The clinical symptoms were differently improved in degree in 21 patients after the operation. The muscular power which was lowered after the operation mended after the treatment in 3 patients. Conclusions It is difficult to remove the calcified spinal meningiomas. The oeeurrent rate of the postoperative neuronal dysfunction is relatively high in the patients with calcified spinal meningiomas. The skilful technique of mierosurgery via the correct approach is the key to the total removal of the calcified spinal meningiomas.
出处
《中国临床神经外科杂志》
2012年第8期460-462,共3页
Chinese Journal of Clinical Neurosurgery
关键词
脊膜瘤
钙化
显微手术
Spina meningioma
Calcification
Mierosurgery
