后正中入路切除高龄患者复发性后纵隔巨大哑铃状神经鞘瘤1例报告及文献分析
DOI:
作者:
作者单位:

无锡市中医医院

作者简介:

通讯作者:

中图分类号:

基金项目:


Author:
Affiliation:

Wuxi Traditional Chinese Medicine Hospital

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    本病例为高龄患者的复发性巨大哑铃状神经鞘瘤,其肿瘤侵犯了后纵隔的上胸椎椎间孔内外侧。对于患者的首次手术,予以切除椎管内及椎间孔内肿物,以解除脊髓压迫、促进神经功能恢复。术后44个月,患者症状反复,后纵膈内肿物短期复发,且较前次明显增大。我们进行了二次手术:全麻下行经后路胸椎神经鞘瘤切除+椎弓根螺钉内固定术+胸2椎体病灶清除术+植骨融合术。术中完整切除肿瘤并重建脊柱稳定性,疗效良好。根据本例经验,采用后正中入路完整切除肿瘤可能是部分后纵隔巨大哑铃状神经鞘瘤的一种安全术式。

    Abstract:

    This case was a recurrent giant dumbbell-shaped schwannoma in an elderly patient whose tumor invaded the upper thoracic intervertebral foramen of the posterior mediastinum. For the patient's first operation, the tumor in the spinal canal and intervertebral foramen was excised to relieve the spinal cord compression and promote the recovery of the nerve function. 44 months after the first operation, the patient's symptoms recurred. The tumor in the posterior mediastinum recurred in a short time, and it increased significantly compared with the previous time. We performed a second operation under general anesthesia: posterior thoracic schwannoma resection + pedicle screw fixation + T2 vertebral body debridement + bone graft fusion. The tumor was completely removed and the spinal stability was reconstructed by the operation, and the curative effect was good. Based on the experience of this case, complete tumor resection through the posterior median approach may be a safe operation for some of the giant dumbbell-shaped schwannomas in the posterior mediastinum.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2021-11-05
  • 最后修改日期:2022-02-06
  • 录用日期:2022-06-30
  • 在线发布日期:
  • 出版日期: