后正中入路显微手术治疗高颈段腹侧脊膜瘤
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- 论文作者：张华平 ; 乔广宇 ; 姚坤 ; 金保山 ; 陈涛 ; 陈金华 ; 毛华 ; 郑波 ; 李宪国 ; 陶亮 ; 陈诗师 ; 高文宏
- 年：2017
- 作者机构：荆州市中心医院神经外科长江大学附属第二临床学院神经外科;中国人民解放军总医院神经外科北京301总医院神经外科;
- 论文关键词：脊膜瘤 ; 高颈段 ; 发热 ; 颈椎稳定性 ; 脑脊液漏
- 会议召开时间：2017-05-26
- 会议录名称：2017年《中国组织化学与细胞化学杂志》临床研讨会论文集
- 语种：中文
- 分类号：R739.4
- 学会代码：ZHXB
- 会议名称：2017年《中国组织化学与细胞化学杂志》临床研讨会
- 会议地点：中国湖北武汉
- 主办单位：《中国组织化学与细胞化学杂志》社有限公司
- 学会名称：《中国组织化学与细胞化学杂志》社有限公司
- 页数：2
- 文件大小：498k
- 原文格式：O
- 会议级别：全国
摘要
目的:探讨后正中入路高颈段腹侧脊膜瘤手术处理方法及并发症的处理;方法:2例患者均采用后正中入路半椎板切开入路,手术经过均顺利;结果:2例患者肿瘤切除满意,术后早期均出现发热症状,术后随访7月和20个月,均未出现颈椎不稳现象;结论:后正中入路偏侧半椎板切除能够满足大部分手术需求,且手术损伤小,对颈椎稳定性影响较小。术后硬脊膜及切口严密缝合对减少并发症至关重要。
引文
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[2]Schaller,B.,Spinal meningioma:relationship between histological subtypes and surgical outcome?J Neurooncol,2005.75(2):p.157-61.
[3]Vaneckova,M.,et al.,Cervical meningioma in childhood.A case report.Neuroradiol J,2008.21(3):p.383-7.
[4]Radek,M.,et al.,The antero-lateral approach with corpectomy in the management of the ventral meningioma of the spinal canal.Neurol Neurochir Pol,2016.50(3):p.226-30.
[5]Watanabe,M.,et al.,Upper cervical spinal cord tumors:review of 13cases.J Orthop Sci,2009.14(2):p.175-81.
[6]Safaee,M.M.,et al.,Neurological outcomes and surgical complications in 221 spinal nerve sheath tumors.J Neurosurg Spine,2016.26(1):p.103-111.
[7]Jenkinson,M.D.,et al.,Outcome predictors and complications in the management of intradural spinal tumours.Eur Spine J,2006.15(2):p.203-10.
[8]Hoover,J.M.,et al.,Complications necessitating a return to the operating room following intradural spine surgery.World Neurosurg,2012.78(3-4):p.344-7.
[9]Ahn,D.K.,et al.,The surgical treatment for spinal intradural extramedullary tumors.Clin Orthop Surg,2009.1(3):p.165-72.
[10]Iacoangeli,M.,et al.,Minimally invasive surgery for benign intradural extramedullary spinal meningiomas:experience of a single institution in a cohort of elderly patients and review of the literature.Clin Interv Aging,2012.7:p.557-64.
[11]Sciubba,D.M.,et al.,Factors associated with cervical instability requiring fusion after cervical laminectomy for intradural tumor resection.J Neurosurg Spine,2008.8(5):p.413-9.
[12]营凤增等,前外侧及后外侧入路切除颅颈交界区脊(延)髓前方及侧方肿瘤附18例临床分析.中华神经外科杂志,2003(06):第31-34页.