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目的 :探讨腰椎管外神经鞘瘤的诊断和治疗。方法 :9例腰椎管外神经鞘瘤患者的症状和体征加影像学确诊。 8例施行后入路肿瘤摘除 ,其中经椎板、小关节突入路 1例 ,Wiltes入路单纯摘除肿瘤 7例。保守治疗 1例。结果 :经半年至 5年随访 ,手术患者恢复原工作 ,下肢症状无复发 ,保守治疗者 ,下肢症状能缓解 ,但不能根除。结论 :腰椎管外神经鞘瘤 ,手术效果可靠 ,Wiltes入路创伤小 ,值得推广。
Objective: To investigate the diagnosis and treatment of lumbar spinal schwannoma. Methods: Nine patients with lumbar spinal canal schwannoma symptoms and signs plus imaging confirmed. Tumor resection was performed in 8 cases, of which 1 case had translaminar and facet joint approach, and 7 cases had Wilms approach. Conservative treatment in 1 case. Results: After six months to five years of follow-up, the patients returned to their original work, the symptoms of lower extremities did not recur, conservative treatment, lower extremity symptoms can be alleviated, but can not be eradicated. Conclusions: The lumbar spinal canal schwannoma has reliable operation results and is less traumatic in Wiltes approach. It is worth promoting.