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
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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