摘要
目的探讨椎管内原发性畸胎瘤的临床特点及治疗情况。方法回顾性分析2016年12月至2019年6月手术治疗的13例椎管内原发畸胎瘤的临床资料。结果肿瘤全切除1例,次全切除12例。13例术后病检结果均为成熟性畸胎瘤。术前肢体无力6例中,改善5例;术前大小便功能障碍7例中,改善6例;2例性功能障碍、9例腰背部疼痛、7例肢体疼痛麻木,术后均改善。术后发热3例,感染1例。术后随访1~29个月,中位数为7个月,平均11.2个月;4例复发。结论椎管内原发性畸胎瘤发病率低,多位于胸、腰段,髓内、髓外均可,显微手术为主要治疗方法,并发症少,病理检查以成熟性畸胎瘤居多。
Objective To analyze the clinical features and treatment of primary spinal intracannal teratomas. Methods The clinical data of 13 patients with primary spinal intrcanal teratomas who were treated by surgery in our department from December, 2016 to June, 2019, were analyzed retrospectively. Of these 13 patients, 9 were male and 4 female. Their ages ranged from 11 to 62 years. The teratomas were mainly located in the thoracolumbar region. Of 13 teratomas, 9 were extramedullary tumors and 4 intramedullary. Four patients underwent surgery again. Results Of 13 patients with teratomas, 1 received total resection of the tumors and 12 subtotal resection. The pathological examination showed all the tumors were mature teratomas. Five patients recovered from the limbs weakness in 6 patients with preoperative limbs weakness. Six patients improved in defecation and urinary functions after the operation in the 7 patients with preoperative dysporia and dysuria. Two patients with preoperative sexual dysfunction improved in sexual function. Nine patients with preoperative lower back pain and 7 with limbs pain and numbness mended after the operation. There were postoperative fever in 3 patients and infection in 1. Conclusions The incidence of primary spinal intracanal teratomas is low, most of them are located in thoracolumbar region, and they may be intramedullary or extramedullary tumors. Most of the teratomas were mature. The curative effects of microsurgery on the spinal intracanal teraomas are good.
作者
王甲光
王勇
王玉社
张智文
温硕
郭华超
左争辉
WANG Jia-guang;WANG Yong;WANG Yu-she;ZHANG Zhi-wen;WEN Shuo;GUO Hua-chao;ZUO Zheng-hui(Department of Neurosurgery,People's Hospital,He'nan University,Zhengzhou 450000,China)
出处
《中国临床神经外科杂志》
2020年第1期16-18,28,共4页
Chinese Journal of Clinical Neurosurgery
关键词
椎管内肿瘤
原发性畸胎瘤
显微手术
Primary mature teratomas
Spinal canal
Microsurgery
Curative effects
