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胸腔镜联合脊柱旁后入路切除后纵隔哑铃型神经鞘瘤1例报告 被引量:2

Resection of Posterior Mediastinal Schwannoma by Thoracoscopic Surgery Combined with Paravertebral Posterior Surgical Approach:a Case Report
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摘要 后纵隔哑铃型肿瘤是比较少见的胸腔内肿瘤,其中90%为良性病变,常见的是神经源性肿瘤,包括神经鞘瘤、神经纤维瘤、肾上腺节细胞神经瘤等[1]。肿瘤的主体部分主要位于胸腔内,但有部分延伸进入椎间孔、甚至椎管内[2],对于此类肿瘤进行手术的合适入路,目前尚存争议。多数情况下,尤其当肿瘤体积较大时,单一的手术入路,比如胸腔入路或者脊柱旁入路,常常不能达到手术目的。2013年,我院收治1 例后纵隔哑铃型神经鞘瘤患者手术中采用前入路(胸腔镜)联合后入路(脊柱旁小切口椎板切除)的方式完整地切除了肿瘤,治疗效果良好,现报告如下。
出处 《中国临床医学》 2014年第5期600-602,共3页 Chinese Journal of Clinical Medicine
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参考文献9

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同被引文献19

  • 1滕红林,贾连顺.脊柱颈胸段的前方手术入路[J].脊柱外科杂志,2003,1(1):51-54. 被引量:6
  • 2庞大志,曾伟生,乔贵宾.哑铃型纵隔神经源性肿瘤的外科治疗[J].临床军医杂志,2007,35(1):45-46. 被引量:2
  • 3王素春,张烽,段广超,金国华.颈胸段脊柱周围重要神经结构及其毗邻关系[J].中国临床解剖学杂志,2007,25(6):615-617. 被引量:4
  • 4Yamaguchi M,Yoshino l,Fukuyama S,et aI.Sugical lr+mnenl of neur~geni lumors of tile ch,eo.t [J ].Ann 'lac Cardiovasc Surg,2004,.
  • 5Altas M,Cerci A,Silav G,et al.Microsurgical management of non- neurofibromatosis spinal schwannoma[J].Neurocirugia(Astur),2013, 24(6): 244-249.
  • 6Shadmehr MB, Gaissert HA,Wain JC,et al.The surgical approach to "dumbbell tumors" of the mediastinum[J].Ann Thorac Surg,2003, 76(5 ):1650-1654.
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  • 8Kratzig T, Dreimann M, Klingen h/~ fer M, et al.Treatment of large thoracic and lumbar paraspinal schwannoma[Jl.Acta Neurochir(wien), 2015,157(3):531-538.
  • 9Ando K, Imagama S, Wakao N, et al.Single-stage removal of thoracic dumbbell tumors from a posterior approach only with costotransver- sectomy[ J~.Yonsei Med J, 2012,53( 3 ):611-617.
  • 10卢斌,赵晓东,周成伟,朱勇刚,周银杰.胸腔镜联合背部小切口切除哑铃型神经源性后纵隔肿瘤[J].现代实用医学,2011,23(7):761-762. 被引量:2

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