内镜控制下开放半椎板切除术治疗硬脊膜内髓外肿瘤：手术技术及连续20例的短期结果
Endoscopically controlled surgery with open hemilaminectomy for the treatment of intradural extramedullary tumors: an operative technique and short-term outcomes of 20 consecutive cases.
作者信息
Yan Xiaorong, Wang Huiqing, Li Cai, Lin Yuanxiang, Lin Lin, Zhu Shinong, Wang Chenyang, Lin Zhangya, Jiang Changzhen, Kang Dezhi
机构信息
Neurosurgery Department, The First Affiliated Hospital of Fujian Medical University, 20# Chazhong Road, Fuzhou City, Fujian Province, China.
Neurosurgery Department, The First Affiliated Hospital of University of South China, Hengyang City, Hunan Province, China.
出版信息
Chin Neurosurg J. 2021 Jan 4;7(1):1. doi: 10.1186/s41016-020-00222-0.
BACKGROUND
To present a surgical technique for the treatment of intradural extramedullary (IDEM) tumors by using endoscopically controlled surgery with open hemilaminectomy technique.
METHODS
In this study, 20 patients with 22 IDEM tumors were enrolled. An endoscopically controlled surgery with open hemilaminectomy was employed to remove the tumors. Data related to clinical symptoms and medical images before and after surgery were collected for perioperative evaluation and follow-up analysis.
RESULTS
All the tumors in 20 patients were well removed. The clinical symptoms were significantly reduced in all the patients as well. The short-term follow-up data showed that there was no tumor recurrence or spinal deformity.
CONCLUSION
The endoscopically controlled surgery with open hemilaminectomy technique provided favorable exposure and satisfactory resection to the IDEM tumors. It may be an effective surgical method for treating IDEM tumors. Larger samples and longer follow-up data are needed to verify its long-term effectiveness.
背景
介绍一种通过内镜控制手术结合开放半椎板切除术治疗硬脊膜内髓外（IDEM）肿瘤的手术技术。
方法
本研究纳入了20例患有22个IDEM肿瘤的患者。采用内镜控制手术结合开放半椎板切除术切除肿瘤。收集术前和术后与临床症状及医学影像相关的数据，用于围手术期评估和随访分析。
结果
20例患者的所有肿瘤均被完整切除。所有患者的临床症状也显著减轻。短期随访数据显示无肿瘤复发或脊柱畸形。
结论
内镜控制手术结合开放半椎板切除术技术为IDEM肿瘤提供了良好的暴露和满意的切除效果。它可能是治疗IDEM肿瘤的一种有效手术方法。需要更大样本量和更长随访数据来验证其长期有效性。
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