Objective: This study sought to identify the prevalence of operations for spinal epidural neoplastic metastases relative to other spine and neurosurgical operative procedures. Methods: This study was descriptive and i...Objective: This study sought to identify the prevalence of operations for spinal epidural neoplastic metastases relative to other spine and neurosurgical operative procedures. Methods: This study was descriptive and involved a retrospective review of data collected from patients who underwent neurosurgeries between February 1997 and January 2015 at a single quaternary hospital. The examined population was distributed across five descriptive categories to perform numerical distributions among neurosurgical operative procedures. Results: A total of 12,802 neurosurgical procedures were identified. These procedures were classified as follows: Skull and brain, 11,192 (87.42%);spinal column and spinal nervous tissue, 1462 (11.42%);and peripheral nerves, 148 (1.16%). Surgical procedures for the 1462 (100%) cases of spinal column and spinal nervous tissue diseases were distributed by nosology as follows: Degenerative intervertebral disk and spondylosis, 768 (52.54%);neoplastic, 279 (19.08%);traumatic, 221 (15.11%);congenital, 163 (11.14%);infectious and inflammatory, 27 (1.85%);and vascular, 4 (0.28%). With respect to the distribution of the 279 (100%) surgical procedures for spinal column and spinal nervous tissue neoplastic diseases, 124 (44.44%) procedures were for intradural neoplasms, and 155 (55.56%) procedures were for epidural spinal column neoplasms. The 155 (100%) operations for epidural neoplastic diseases were distributed into two groups: Primary epidural neoplasms, 42 (27.10%);and secondary epidural neoplasms, 113 (72.90%). Spinal column epidural neoplastic metastases (secondary neoplasms) represented 0.88% of the 12,802 neurosurgical procedures. Conclusions: Surgical procedures for spinal metastasis are uncommon with respect to all neurosurgical operative procedures. Trend analysis reveals an unchanging trend of prevalence for these procedures.展开更多
目的探讨外视镜在矢状窦旁脑膜瘤手术中的应用效果。方法回顾性分析2021年3月至2023年3月于本院神经外科同一医疗组接受手术的矢状窦旁脑膜瘤患者50例的临床资料,根据手术方式分为外视镜组(22例)和显微镜组(28例),对比分析2组患者手术...目的探讨外视镜在矢状窦旁脑膜瘤手术中的应用效果。方法回顾性分析2021年3月至2023年3月于本院神经外科同一医疗组接受手术的矢状窦旁脑膜瘤患者50例的临床资料,根据手术方式分为外视镜组(22例)和显微镜组(28例),对比分析2组患者手术效果、手术并发症以及术者体验。结果外视镜组与显微镜组患者性别(男/女:10/12 vs 12/16)、年龄[(50.7±10.2)vs(52.3±11.1)岁]、肿瘤大小[(20.79±25.04)vs(20.60±21.38)cm^(3)]均相似;2组手术时间[(217.73±59.66)vs(220.54±56.82)min]、术中出血量[(181.82±105.27)vs(189.29±103.06)mL]、肿瘤全切率(90.9%vs 89.3%)差异无统计学意义。术后神经功能障碍、感染率等并发症方面差异也无统计学意义。外视镜在矢状窦旁脑膜瘤手术中能显示显微镜难以观察到的矢状窦旁硬膜缘下等大角度区域。外视镜系统下操作的舒适度优于显微镜,术中教学展示较显微镜更好。结论外视镜下切除矢状窦旁脑膜瘤安全有效,具有舒适的人体工程学姿势、良好的手术团队参与度、优秀的教学效果等优势,值得推广应用。展开更多
文摘Objective: This study sought to identify the prevalence of operations for spinal epidural neoplastic metastases relative to other spine and neurosurgical operative procedures. Methods: This study was descriptive and involved a retrospective review of data collected from patients who underwent neurosurgeries between February 1997 and January 2015 at a single quaternary hospital. The examined population was distributed across five descriptive categories to perform numerical distributions among neurosurgical operative procedures. Results: A total of 12,802 neurosurgical procedures were identified. These procedures were classified as follows: Skull and brain, 11,192 (87.42%);spinal column and spinal nervous tissue, 1462 (11.42%);and peripheral nerves, 148 (1.16%). Surgical procedures for the 1462 (100%) cases of spinal column and spinal nervous tissue diseases were distributed by nosology as follows: Degenerative intervertebral disk and spondylosis, 768 (52.54%);neoplastic, 279 (19.08%);traumatic, 221 (15.11%);congenital, 163 (11.14%);infectious and inflammatory, 27 (1.85%);and vascular, 4 (0.28%). With respect to the distribution of the 279 (100%) surgical procedures for spinal column and spinal nervous tissue neoplastic diseases, 124 (44.44%) procedures were for intradural neoplasms, and 155 (55.56%) procedures were for epidural spinal column neoplasms. The 155 (100%) operations for epidural neoplastic diseases were distributed into two groups: Primary epidural neoplasms, 42 (27.10%);and secondary epidural neoplasms, 113 (72.90%). Spinal column epidural neoplastic metastases (secondary neoplasms) represented 0.88% of the 12,802 neurosurgical procedures. Conclusions: Surgical procedures for spinal metastasis are uncommon with respect to all neurosurgical operative procedures. Trend analysis reveals an unchanging trend of prevalence for these procedures.
文摘目的探讨外视镜在矢状窦旁脑膜瘤手术中的应用效果。方法回顾性分析2021年3月至2023年3月于本院神经外科同一医疗组接受手术的矢状窦旁脑膜瘤患者50例的临床资料,根据手术方式分为外视镜组(22例)和显微镜组(28例),对比分析2组患者手术效果、手术并发症以及术者体验。结果外视镜组与显微镜组患者性别(男/女:10/12 vs 12/16)、年龄[(50.7±10.2)vs(52.3±11.1)岁]、肿瘤大小[(20.79±25.04)vs(20.60±21.38)cm^(3)]均相似;2组手术时间[(217.73±59.66)vs(220.54±56.82)min]、术中出血量[(181.82±105.27)vs(189.29±103.06)mL]、肿瘤全切率(90.9%vs 89.3%)差异无统计学意义。术后神经功能障碍、感染率等并发症方面差异也无统计学意义。外视镜在矢状窦旁脑膜瘤手术中能显示显微镜难以观察到的矢状窦旁硬膜缘下等大角度区域。外视镜系统下操作的舒适度优于显微镜,术中教学展示较显微镜更好。结论外视镜下切除矢状窦旁脑膜瘤安全有效,具有舒适的人体工程学姿势、良好的手术团队参与度、优秀的教学效果等优势,值得推广应用。
