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目的分析在神经内镜辅助下切除椎管内肿瘤的临床效果。方法经MRI确诊椎管内硬脊膜下、髓外神经纤维瘤和脊膜瘤患者16例。肿瘤位于颈段2例、胸段3例、腰段11例。采用2-4cm皮肤切口,鼻窥器显露椎管;在神经内镜辅助下切除肿瘤。结果 16例患者的椎管内肿瘤均全部切除。术后症状消失或明显改善,脊柱的稳定性无明显变化。结论使用鼻窥器和神经内镜可减小脊柱的破坏,并可完全显露和切除椎管内肿瘤,手术安全、有效、微创。
Objective To analyze the clinical effect of neurosurgery assisted resection of intraspinal tumors. Methods 16 cases of spinal subdural, extramedullary neurofibroma and meningioma were identified by MRI. The tumor was located in the cervical region in 2 cases, thoracic in 3 cases, and lumbar in 11 cases. Using 2-4cm skin incision, nasal speculum revealed spinal canal; assisted by endoscopic resection of the tumor. Results All 16 cases of spinal canal tumors were resected. Postoperative symptoms disappeared or significantly improved, no significant changes in the stability of the spine. Conclusion The use of nasal speculum and endoscope can reduce the destruction of the spine, and completely expose and resect the tumor in the spinal canal. The operation is safe, effective and minimally invasive.