儿童颈椎肿瘤外科治疗

Case Report and Literature Review of Surgical Treatment to Children Cervical Tumor

【目的】探讨儿童颈椎肿瘤的手术方式及预后。【方法】回顾性分析我院2004年3月至2008年1月收治的3例颈椎肿瘤的临床资料及复习相关文献。【结果】2例骨母细胞瘤经手术切除,内固定重建,植骨融合,例1随访2年后复发,经再次后路单纯切除后随访2年无复发,例2随访2年无复发。例3为脊索瘤,行后路颈枕融合,前路经口肿瘤切除,术后予放疗,26月后复发。【结论】儿童颈椎良性肿瘤切除后效果良好,但恶性肿瘤手术难度大,易复发,预后差。

[Objective] To study the operative methods and prognosis of cervical tumor of children. [Methods] The clinical data of 3 children cervical tumor from March 2004 to January 2008 was analyzed and correlated literatures was reviewed. [Results] Two children with cervical osteoblastoma suffered operation of cutting the tumor, internal fixation and bone graft. Case 1 had recurred after 2 years, and suffered simple posterior operation to cut the tumor again, did not recur by following up 2 years. Case 2 did not recur by following up 2 years. Case 3 with chordoma suffered posterior occipito-cervical fusion first, then anterior tumor resection per-oropharynx, and radiotherapy after operation. But tumor had recurred after 26 months. [ Conclusions] The cervica benign tumors of children had a satisfactory outcomes after operation, But the operation in malignant tumors is difficult, easy to recur, prognosis is worse.