State University of Campinas, Campinas (SP), Brazil.
Pontifical Catholic University of Campinas, Campinas (SP), Brazil.
Rev Assoc Med Bras (1992). 2023 Sep 18;69(9):e20230190. doi: 10.1590/1806-9282.20230190. eCollection 2023.
The aim of this study was to evaluate the outcome and surgical complications in patients with spinal schwannoma or neurofibroma surgically treated at the Hospital das Clínicas of the State University of Campinas.
This was a retrospective cohort study, using medical records of patients operated between 2011 and 2021. The sample distribution was verified using the Kolmogorov-Smirnov test. The dynamics between qualitative variables were assessed using Fisher's exact test. We used means analysis to assess patient improvement based on Frankel scores.
A total of 16 patients were evaluated, of whom 56.25% (9) were men and 43.75% (7) were women. There were 13 (81.25%) patients with schwannomas and 3 (18.75%) with neurofibromas. Patients with deficits had neurological improvement, such as walking or with at least Frankel D or E after surgery. Laminectomy, performed in 8 patients (50%), and laminoplasty, used in 9 patients (56.25%), were the main techniques.
The surgical approach was proved to be an effective and safe alternative to the treatment of these tumors, with neurological improvement and minor surgical complications.
本研究旨在评估在坎皮纳斯州立大学临床医院接受手术治疗的脊神经鞘瘤或神经纤维瘤患者的预后和手术并发症。
这是一项回顾性队列研究，使用了 2011 年至 2021 年间接受手术治疗的患者的病历。样本分布通过柯尔莫哥洛夫-斯米尔诺夫检验进行验证。使用 Fisher 精确检验评估定性变量之间的动态关系。我们使用均值分析根据 Frankel 评分评估患者的改善情况。
共评估了 16 名患者，其中 56.25%（9 名）为男性，43.75%（7 名）为女性。有 13 名（81.25%）患者患有神经鞘瘤，3 名（18.75%）患者患有神经纤维瘤。有神经功能缺损的患者在手术后出现了神经功能改善，例如行走能力或至少达到 Frankel D 或 E 级。椎管减压术（50%）和椎板成形术（56.25%）是主要的手术技术。
手术方法被证明是治疗这些肿瘤的有效且安全的选择，可改善神经功能，且手术并发症较少。
