手术治疗颈、胸段脊髓哑铃型肿瘤(附11例报告)

Surgical Management of Dumbbell Tumors of Cervical and Thoracal Spine(11 case report)

报告１１例颈、胸段脊髓哑铃型肿瘤患者，颈段肿瘤单纯采用后正中切口，对突入胸段后纵隔且肿瘤较大者，则沿后肋补行垂直延长切口。本组肿瘤全切率８１８％（９／１１），无手术死亡，并发手术残腔积液１例、切口脑脊液漏１例。认为胸段突入后纵隔的肿瘤必须会同胸外科联合手术。

We report eleven consecutive cases of dumbbell tumors of cervical and thoracal spinePosterior midline appproach were used for cervical dumbbell tumor resectionPostmediastinum tumor extension was by means of prolonged vertical incision along back ribsGross total resection was achieved in 9 patientsThere was no postoperative mortalityA cerebrospinal fluid leak occurred in one patient and dropsy of residual cavity developed in one patientFor removal of extensive postmediastinum tumors neurosurgeon should coopperate with thoracal surgeon