婴幼儿椎管内肿瘤(附63例报告)

Intraspinal tumor of infants:A report of 64 cases

目的 分析和探讨婴幼儿椎管内肿瘤的临床特点、早期诊断和手术治疗。方法 对 6 3例婴幼儿椎管内肿瘤的临床资料进行回顾性研究。结果 本组病例皮样囊肿和表皮样囊肿占41.3% ,脂肪瘤 12 .7% ,畸胎瘤 7.9% ,肠源性囊肿 5 .0 % ,神经母细胞瘤占 4.8% ,其他恶性肿瘤占4.8%。手术全切除率为 76 .7% ,大部分切除率为 18.3% ,部分切除率为 5 .0 %。肢体运动障碍者 ,术后随诊时 78.9%好转 ,感觉障碍 6 4%改善 ,括约肌功能障碍 6 3.3%改善 ,全组无死亡。结论 婴幼儿椎管内肿瘤以先天性肿瘤为主 ,对其应早期诊断和早期手术治疗 ,大多能做到肿瘤全切除 ,术后症状缓解 。

Objective To discuss the clinical features, diagnosis and operative therapy of intraspinal tumors in infants.Methods 63 cases of infantile intraspinal tumor were retrospectively analyzed.Results In our series, epidermoid cyst and dermoid cyst accounted for 41.3% , lipoma 12.7% , teratoma 7.9% , enterogenous cyst 5%, neuroblastoma 4.8% and other malignant tumors were 4.8% . The rate of total removal of tumor was 76.7% , The rate of subtotal removal was 18.3% , and The rate of partial removal was 5%. In all cases,dyskinesia improved in 78.9% , sensory disturbance improved in 64% and sphincter problem improved in 63.3% .Conclusions Congenital tumors are common intraspinal tumors in infants and operation should be performed as earlier as possible. Most tumors can be completely resected, which will greatly imoprove the quality of life of the patients.