Spinal intradural tumours: Part I - extramedullary
Spinal intradural tumours: Part I - extramedullary
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DOI：
10.1080/02688699943042
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发表时间：
1999-12-01
影响因子：
1.1
通讯作者：
Crockard, HA
中科院分区：
文献类型：
--
作者：
El-Mahdy, W;Kane, PJ;Crockard, HA
在16年的时间里，66例患者在一个外科小组的护理下接受了髓内神经鞘肿瘤手术。手术集中于根治性硬膜内和硬膜外切除，必要时联合脊柱重建。在年龄12-81岁的35名男性和30名女性中使用了90种手术。45%位于颈椎，26%位于胸椎，29%位于腰骶区。18例为NF1, 2例为NF2。65%为神经鞘瘤，27%为混合组织学，6%为恶性。在功能预后方面，37名患者的Frankel评分达到一个或多个等级，3名患者的Frankel评分达到一个等级而恶化，没有单独出现症状的患者出现恶化。无手术死亡；没有器械故障，5名患者出现脑脊液泄漏。
Sixty-six patients had surgery for an intramedullary nerve sheath tumour under the care of one surgical team in a 16-year period. Surgery concentrated on radical intra- and extradural excision combined if necessary with vertebral column reconstruction. Ninety procedures were used in 35 males and 30 females with an age range 12-81 years. Forty-five per cent were located in the cervical, 26% in the thoracic and 29% in the lumbosacral region. Eighteen patients had NF1 and two patients NF2. Sixty-five per cent were schwannomas, 27% were mixed histology and 6% malignant. In terms of functional outcome, 37 patients improved by one or more Frankel grades, three deteriorated by one Frankel grade and no one who presented with symptoms alone deteriorated. There were no operative deaths; no instrumentation failures and five patients developed a CSF leak.