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完全切除脊神经鞘瘤。30例患者的手术技术及结果

Complete removal of the spinal nerve sheath tumors. Surgical technics and results from a series of 30 patients.

作者信息

Fernandes Rudi Lenck, Lynch José Carlos, Welling Leonardo, Gonçalves Mariangela, Tragante Rodrigo, Temponi Vicente, Pereira Celestino

机构信息

Departamento de Neurocirurgia, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brazil.

Rede D'Or São Luiz, Rio de Janeiro, RJ, Brazil.

出版信息

Arq Neuropsiquiatr. 2014 Apr;72(4):312-7. doi: 10.1590/0004-282x20140008.

DOI:10.1590/0004-282x20140008
PMID:24760097
Abstract

OBJECTIVE

Observe whether a microsurgical gross total removal (GTR) of a spinal nerve sheath tumors (SNSTs) is safe and decreases the tumor recurrence.

METHOD

We identify 30 patients with 44 SNSTs.

RESULTS

We operated upon 15 males and 15 females patients; mean age 40 years. GTR was achieved in 29 (96.6%) instances. Surgical mortality was 3.3% and the recurrence rate was 3.3%. The median follow-up time was 6.2 years.

CONCLUSION

The surgical approach used in this group of patients afford that the great majority of tumors could be totally removed with low mortality and low recurrence rates, proving to be safe and effective.

摘要

目的

观察显微外科手术全切除脊髓神经鞘瘤(SNSTs)是否安全并降低肿瘤复发率。

方法

我们确定了30例患有44个脊髓神经鞘瘤的患者。

结果

我们对15例男性和15例女性患者进行了手术;平均年龄40岁。29例(96.6%)实现了全切除。手术死亡率为3.3%,复发率为3.3%。中位随访时间为6.2年。

结论

该组患者所采用的手术方法表明,绝大多数肿瘤能够以低死亡率和低复发率被完全切除,证明是安全有效的。

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