Diagnosis and surgical treatment of intraspinal tumors
- VernacularTitle:椎管内肿瘤的诊断及手术治疗
- Author:
Deling YANG
;
Mingjin ZHANG
;
Huaju YU
;
Xu ZHANG
;
Shilong YUAN
;
Yongming XI
- Publication Type:Journal Article
- Keywords:
intraspinal tumors;
diagnosis;
surgical operation
- From:
Chinese Journal of Tissue Engineering Research
2014;(z1):172-175
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the diagnosis and surgical treatment of inraspinal tumors.
The clinical data of 246 patients with inraspinal tumors who had undergone operations in the Affiliated Hospital of Qingdao University Medical Col ege between January 2010 and January 2013 were retrospectively analyzed. The treatment and prognosis of inraspinal tumors were reviewed.
262 operations were performed, with posterior bilateral laminectomy approach in 202 cases, semi-laminectomy approach in 28 cases, laminoplasty approach in 10 cases, and lateral resection of extra-vertebral canal dumbbel shaped tumors in 22 cases. The short-term remission rate of the nerve root pain reached 95.0%(133/140), and the improvement rates of the sensory disability, motor disturbance, and sphincter dysfunction were 85.6%(125/146), 86.7%( 136/157), and 84.6(11/13) respectively. The ASIA nervous function scores and grades at the last fol ow-up were significantly superior to those before and 3 months after the operation in 236 patients.
Intraspinal tumors are mostly benign. The clinical appearance of them should be watched closely, and thorough physical check-up should be performed. MRI is the examination of choice at early diagnosis. The key to improve the treatment effects is to perform operations as soon as possible.
