显微手术治疗高颈段哑铃型椎管肿瘤

Microsurgical treatment of dumbbell tumors of high cervical spine

目的总结应用显微手术治疗高颈段哑铃型椎管肿瘤的临床经验。方法12例高颈段哑铃型椎管肿瘤患者分别采用颈后正中切口及颈前外侧切口,在显微镜下切除肿瘤。结果肿瘤完全切除10例,大部分切除2例。术后临床症状均有明显改善。结论熟悉高位颈段脊髓及周围解剖关系,仔细分析术前影像学资料,熟练采用显微手术技术是治疗高颈段哑铃型椎管肿瘤并取得良好临床效果的关键。

Objective To summarize experiences of mierosurgieal treatment of dumbbell tumors of the high eervieal spine. Methods A series of 12 patients with dumbbell tumors of the high eervieal spine were treated by using mierosurgieal teehniques through posterior approaeh or antero - lateral approaeh. Results Complete reseetion was aehieved in 10 patients. Postoperative neurologieal symptoms improved greatly in all. Conclusion The key points of treatment in dumbbell tumors of the high eervieal spine are to analyze the preoperative image earefully and have knowledge about anatomy of high eervieal spine as well as the experienee of mierosurgieal teehnique.