25例椎管内神经鞘瘤的诊疗分析

Analysis of diagnosis and treatment on 25 cases of spinal canal neurilemmoma

目的探讨椎管内神经鞘瘤的诊断及手术治疗。方法回顾分析笔者所在医院2002年6月至2008年12月收治的25例椎管内神经鞘瘤诊疗情况及术后随访资料。结果术后随访6～30个月,肿瘤无复发。术后患者症状11例明显改善,13例部分改善,1例无改善。术后复查X线片,12例行植骨内固定者均形成骨性融合,未作内固定者中有3例出现轻度脊柱失稳。结论 MRI是当前椎管内神经鞘瘤最重要的诊断方法,手术切除肿瘤尽量彻底,视脊柱破坏情况有选择地进行椎间植骨内固定,有利于保持脊柱的稳定性。

Objective To study the clinical diagnosis and surgical treatment of spinal canal neurilemmoma. Methods Retrospective analysis of surgical treatment and follow - up data with 25 cases of spinal canal neurilemmoma admitted from June 2002 to December 2008. Results During the follow - up period ranged from 6 months to 30 months, no recurrence of the tumor was found. The clinical symptoms of 11 patients with significant improvement, 13 patients with some of the improvements, i patient with no improvement. After review of X - ray film,of all 12 patients, bone fusion formed at the corresponding bone grafted place. Mild spinal instability was found in 3 cases without internal fixation. Conclusion MRI is the most important diagnostic methods of spinal canal neurilemmoma currently, surgery to remove the tumor completely as possible, internal fixation and autogenous bone graft can restore the stability of spine.