摘要
目的总结儿童椎管内肿瘤的病理特点、临床表现、手术治疗效果,探讨其特点和规律。方法151例儿童椎管内肿瘤均经手术切除和病理证实,进行回顾性分析。结果儿童椎管内肿瘤以胚胎残余组织肿瘤为多见(43.7%),其次为胶质瘤(26.5%)。运动系统的损害是儿童椎管内肿瘤最常见的首发症状,其次为疼痛、感觉障碍、括约肌功能障碍。儿童以胚胎残余肿瘤和胶质瘤多见,故较成人手术全切除率低,放疗用于恶性肿瘤,椎板复位术可以有效地减少脊柱畸形的发生率。结论儿童椎管内肿瘤与成人在病理、临床表现及手术治疗效果等与成人都不尽相同。
Objective In order to investigate the rules through analyzing the pathology, clinical presentations and surgical treatment and results of pediatric intraspinal tumors. Methods 151 patients with pediatric intraspinal tumors proved by pathology and surgery, which were analyzed retrospectively. Results Embryonal residual tumors are most common in all pediatric intraspinal tumors, next are gliomas. Motor function damage is the most frequent initial complaint , next is pain, sense damage and sphincter dysfunction. These tumors removed by microsurgery in pediatric group is lower than adults＇. Radiotherapy is used on malignant tumors, laminoplasty can effectively decrease the rate of spinal deformities. Conclusion Pediatric intraspinal tumors have many differences with adults＇ in pathology, clinical presentations and surgical treatment and results.
出处
《中华神经外科杂志》
CSCD
北大核心
2005年第9期527-529,共3页
Chinese Journal of Neurosurgery
