Xia Lin-Lin, Tang Jian, Huang Sheng-Li
Medical Equipment Management Office, the Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
Departments of Radiology, the Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an, China.
Br J Neurosurg. 2021 Oct;35(5):603-606. doi: 10.1080/02688697.2021.1923648. Epub 2021 Jun 4.
The purpose of this study was to review the clinical features in a cohort of Chinese patients with primary intraspinal benign tumors.
This retrospective study included a consecutive series of patients with intraspinal benign lesions who received surgery between January 2014 and October 2018 at our hospital. We collected each patient's clinical data, including age, gender, presenting symptoms, the spinal level (cervical, thoracic, lumbar, or sacral), and location (intramedullary or extramedullary) of the tumor.
A total of 66 patients were included in this study, of whom 24 were men and 42 (63.6%) were women. The mean age was 52.5 years (range, 21-76 years). The most common symptom was sensory deficits. The most common tumor type, found in 56.1% patients, was schwannoma, followed by meningioma in 33.3% patients. The commonly performed surgery included decompression of spinal canal and excision of spinal lesions.
Primary intraspinal benign tumors occur in elderly and female population and at the thoracic region. Schwannoma and meningioma are the two with higher incidence. The surgical outcome in terms of tumor excision and functional recovery is good.
本研究旨在回顾一组中国原发性椎管内良性肿瘤患者的临床特征。
这项回顾性研究纳入了2014年1月至2018年10月在我院接受手术的一系列连续性椎管内良性病变患者。我们收集了每位患者的临床资料,包括年龄、性别、临床表现、肿瘤的脊髓节段(颈段、胸段、腰段或骶段)以及位置(髓内或髓外)。
本研究共纳入66例患者,其中男性24例,女性42例(占63.6%)。平均年龄为52.5岁(范围21 - 76岁)。最常见的症状是感觉障碍。最常见的肿瘤类型是神经鞘瘤,占56.1%的患者,其次是脑膜瘤,占33.3%的患者。常见的手术包括椎管减压和脊髓病变切除。
原发性椎管内良性肿瘤好发于老年女性人群及胸段。神经鞘瘤和脑膜瘤发病率较高。在肿瘤切除和功能恢复方面手术效果良好。