Wen Haitao,Wu Shuihua,Chen Chaohui,et al.Improvements of spinal cord compression symptoms after microsurgical removal of intraspinal tumors in children[J].Journal of Clinical Pediatric Surgery,2019,18(11):973-976,983.[doi:10.3969/j.issn.1671—6353.2019.10.015]
小儿椎管内肿瘤显微切除术后疗效分析
- Title:
- Improvements of spinal cord compression symptoms after microsurgical removal of intraspinal tumors in children
- Keywords:
- Spinal Canal/SU; Microsurgery; Spinal Cord Compression; Treatment Outcome; Child
- 分类号:
- R726.1;R651.2
- 摘要:
- 目的 探讨椎管内肿瘤显微切除术对患儿脊髓压迫症状的改善情况。方法 选取湖南省儿童医院2018年2月至2019年1月收治并实行显微切除术的椎管内肿瘤患儿3例，记录其临床症状、基本体征、影像学表现、病理类型等数据。观察患儿术前、术后肢体疼痛麻木、乏力等脊髓压迫症状的改善情况。结果 病理检查结果显示：3例椎管内肿瘤患儿中神经鞘瘤1例，神经母细胞瘤2例。肿瘤全部切除2例，部分切除1例。术后患儿下肢乏力均得到缓解，疼痛麻木缓解1例，无一例无严重并发症或死亡病例。结论 采用显微切除术治疗小儿椎管内肿瘤能够有效改善患儿脊髓压迫症状，患儿总体预后良好，并发症少。
- Abstract:
- Objective To explore the improvements of spinal cord compression symptoms in children after intraspinal tumor microsurgery.Methods A total of 3 children with intraspinal tumor underwent microsurgical resection from February 2018 to January 2019.Their clinical symptoms,basic signs,pathological types and surgical outcomes were recorded.And observations were made about the occurrence of spinal cord compression symptoms such as radiculopathy,sensory disturbance,dyskinesia,rectal and bladder dysfunction.Results Histopathological analysis of intramedullary tumors revealed Schwannoma (n=1) and neuroblastoma (n=2).Resection was total (n=2) and partial (n=1).All symptoms of spinal cord compression were relieved.One case of pain and numbness improved.Conclusion For children with intraspinal tumors,microsurgical treatment can effectively improve the spinal cord compression symptoms,effectively promote spinal remodeling and improve spinal stability.The overall prognosis is excellent and there are fewer complications.It improves the survival and quality-of-life of children and wider clinical applications are recommended.
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备注/Memo
收稿日期:2019-05-04。
基金项目:湖南省卫生健康委员会一般项目（编号：B2017118）
通讯作者:吴水华,Email:292454021@qq.com