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对于C1-C2外周腺素瘤,是否需要进行细膜切除术?

Tae-Shin Kim¹, Woon Tak Yuh^1,2, Junghoon Han¹

¹Department of Neurosurgery, Seoul National University Hospital, Seoul, Republic of Korea.

Acta neurochirurgica

|July 3, 2023

概括

对于C1-C2脊髓外周脊髓瘤,拉米内切除术可能不需要. 瘤内腔直径为14.86毫米是切断点,当避免拉美切除术时,结果没有显著差异.

科学领域:

神经外科神经外科
脊柱外科手术脊柱外科手术
在瘤学瘤学.

背景情况:

脊髓神经瘤,特别是在C1-C2水平,往往需要拉美切除术来完全切除.
在C1-C2的独特解剖学可能允许切除而不是拉美切除术,即使有内膜延伸.

研究的目的:

评估对C1-C2脊柱外周脊髓瘤进行细叶切除术的必要性.
为了比较经过细叶切除术的患者和没有经过细叶切除术的患者之间的结果.
确定影响断层切除术决策的因素及其益处.

主要方法:

对50名患有C1-C2脊髓外周脊髓瘤的患者进行了回顾性分析.
瘤特征和外科手术方法的比较 (带或没有拉美切除术).
确定影响拉美切除决定的内瘤直径的切断值.

主要成果:

一个14.86毫米的内瘤直径被确定为切断需要拉米切除术.
两组之间复发率没有显著差异.
拉美切除术组的手术时间较长;宫曲线没有显著变化.

结论:

内腔瘤直径是决定C1-C2外腔 schwannomas的细叶切除术的一个关键因素.
避免拉美切除术是一种可行的选择,切除和并发症率相似.
这种方法可以通过潜在地减少外科手术的侵入性来提供好处.

关键词:

C1C2 在C1C2之间脊柱外注脊柱外注脊柱外注斯万诺玛是一个人.脊柱脊柱脊柱脊柱脊柱脊柱瘤是一个瘤.

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