儿童髓内肿瘤

Chatterjee Sandip, Chatterjee Uttara

Department of Neurosurgery and Pathology, Park Clinic, Kolkata, India.

J Pediatr Neurosci. 2011 Oct;6(Suppl 1):S86-90. doi: 10.4103/1817-1745.85718.

Intramedullary tumors of the spinal cord account for 35-40% of intraspinal tumors in children. The biological behavior of these tumors is of slow progression, and hence aggressive surgery has been advocated. Surgical adjuncts include use of intraoperative neurophysiological monitoring, preoperative ultrasound, microsurgical techniques and ultrasonic suction devices. Osteoplastic laminoplasty approaches avoid post-laminectomy deformities in younger children. Postoperative radiotherapy and more recently chemotherapy regimes have been proposed for incompletely resected tumors.

脊髓髓内肿瘤占儿童椎管内肿瘤的35% - 40%。这些肿瘤的生物学行为呈缓慢进展，因此有人主张积极手术。手术辅助手段包括术中神经生理监测、术前超声、显微外科技术和超声吸引装置。骨成形性椎板成形术可避免年幼儿童椎板切除术后的畸形。对于切除不完全的肿瘤，已提出术后放疗以及最近的化疗方案。