脊椎瘤:一个系统的审查
Abdurrahman F Kharbat1, Kishore Balasubramanian2, Kiran Sankarappan2
1Department of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Cancers
|February 24, 2024
概括
这项关于脊髓瘤的研究发现,胸脊干干涉是常见的,手术和多式治疗改善了患者的治疗结果. 许多患者在随访时经历了症状缓解和生存.
科学领域:
- 脊柱瘤学 脊柱瘤学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 脊柱瘤,包括初级病变和转移,呈现各种症状,如背部疼痛和虚弱.
- 子宫瘤是脊髓瘤患者的一个子集的显着前体.
- 胸脊是最常受到影响的区域.
研究的目的:
- 分析脊髓瘤患者的临床表现,成像,手术管理和结果.
- 研究不同治疗方法的疗效,包括手术,化疗和放射治疗.
- 为了评估患者的存活率和治疗后症状的缓解.
主要方法:
- 对83名脊髓瘤患者的回顾性分析.
- 对临床数据的审查,包括症状,病史和成像方式 (MRI,CT,X射线).
- 评估手术干预 (切除/固定,全方位脊椎切除术,体外切除术) 和辅助疗法.
主要成果:
- 非特定的背痛是最常见的症状 (57.83%).
- 许多患者进行了手术切除,包括粗整切除 (45.83%).
- 随访时间中位数为19.3个月,61.97%的患者还活着,很大一部分患者症状消失.
结论:
- 脊柱瘤,尤其是胸脊的瘤,需要采用多模式治疗方法.
- 手术干预和辅助疗法有助于改善生存率和症状管理.
- 进一步研究优化脊髓瘤治疗策略是有必要的.
相关概念视频
The Spinal Cord
The spinal cord is the body’s major nerve tract of the central nervous system, communicating afferent sensory information from the periphery to the brain and efferent motor information from the brain to the body. The human spinal cord extends from the hole at the base of the skull, or foramen magnum, to the level of the first or second lumbar vertebra.
Spinal Cord: Gross Anatomy
The spinal cord resides within the protective confines of the vertebral column. It is the main pathway for information traveling between the brain and the body. It plays a fundamental role in nearly all bodily functions, from simple reflexes to complex motor movements. The spinal cord begins at the medulla oblongata at the base of the brainstem and extends downward, terminating at the conus medullaris near the first and second lumbar vertebrae. The spinal cord's length in adults is...
Spinal Cord: Cross-sectional Anatomy
The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
Gray Matter and its Components
Central to the gray matter is...
Gray Matter and its Components
Central to the gray matter is...
Spinal Nerves: Anatomy
Spinal nerves are pivotal conduits in the nervous system, bridging the central nervous system (CNS) with the peripheral nervous system (PNS). These nerves enable a complex communication network between the brain, spinal cord, and the rest of the body, facilitating sensory input, motor output, and autonomic functions.
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
There are 31 bilateral pairs of spinal nerves, each emerging from the spinal cord through the intervertebral foramina—openings between adjacent vertebrae. These nerves are...
Herniated Intervertebral Disc l: Introduction
Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
Degenerative Disc Disease I: Introduction
Degenerative disc disease is a chronic condition in which intervertebral discs gradually lose structure and function. It is not infectious or autoimmune; rather, it results from age-related biochemical and mechanical changes, influenced by genetic, metabolic, and environmental factors.Structure and Function of DiscsThe spine contains 23 intervertebral discs that absorb load, distribute forces, maintain spacing, and allow flexibility. Each disc consists of a nucleus pulposus, a gel-like core...


