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26例臂丛神经鞘瘤的显微手术治疗

李长虹 劳杰 卢和平 孙贤德

中国现代手术学杂志2011,Vol.15Issue(6):467-469,3.
中国现代手术学杂志2011,Vol.15Issue(6):467-469,3.

26例臂丛神经鞘瘤的显微手术治疗

Microsurgical Treatment of 26 Cases of Schwannoma in Brachial Plexus

李长虹 1劳杰 2卢和平 1孙贤德1

作者信息

  • 1. 湖南省常德市第一人民医院骨一科,常德415003
  • 2. 上海复旦大学附属华山医院手外科,上海200040
  • 折叠

摘要

Abstract

Objective To investigate the key points of the microsurgical treatment of schwannomas in brachial plexus. Methods There were twenty-six cases of schwannoma in brachial plexus verified with pathology and clinical from February 2000 to October 2009. There were 11 located at the superior trunk of brachial plexus, 10 at the middle trunk, 2 at the medial cord,l at the lateral cord,1 at the 5th and 6th cervical nerve roots and 1 at the 6th and 7th cervical nerve roots. Microsurgical removal of the tumors was done in all cases. Results 26 cases with schwannoma in brachial plexus were completely resected. The pathological examination showed 18 cases of Antoni A and 8 of Antoni B. There was no function deficit or recurrence over a period of follow-up from 6 months to 10 years. Conclusion Microsurgical treatment of schwannoma in brachial plexus should avoid the nerve fiber injury, protect nerve trunk, detach the envelope of schwannoma by layers and resect the tumor completely.

关键词

臂丛/神经鞘瘤/显微外科手术

Key words

brachial plexus/neurilemmoma/microsurgery

分类

医药卫生

引用本文复制引用

李长虹,劳杰,卢和平,孙贤德..26例臂丛神经鞘瘤的显微手术治疗[J].中国现代手术学杂志,2011,15(6):467-469,3.

中国现代手术学杂志

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