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枕骨大孔区肿瘤的MRI诊断及显微外科治疗

姚军 孙新国 王建刚 宫杰 田东

中国实用神经疾病杂志2017,Vol.20Issue(14):1-4,4.
中国实用神经疾病杂志2017,Vol.20Issue(14):1-4,4.DOI:10.3969/j.issn.1673-5110.2017.14.001

枕骨大孔区肿瘤的MRI诊断及显微外科治疗

MRI diagnosis and microsurgical therapy for foramen magnum tumor

姚军 1孙新国 2王建刚 3宫杰 3田东1

作者信息

  • 1. 成武县人民医院神经外科,山东 成武 274200
  • 2. 滨州市人民医院神经外科,山东 滨州 256502
  • 3. 齐鲁医院神经外科,山东 济南 250012
  • 折叠

摘要

Abstract

Objective To explore MRI diagnosis,category and microsurgical therapy for magnum foramen tumor.Methods A retrospective analysis was performed in which 51 cases with magnum foramen tumor were diagnosed by MRI and received microsurgical therapy.The surgical approaches were decided based on tumor''s MRI features and category.Sub-occipital posterior midline approach was applied to 41 cases and far lateral sub-occipital approach was applied to 10 cases.Results 37 cases underwent total tumor removal (72.5%),13 cases underwent subtotal tumor removal and one case underwent partial removal.Improved symptoms occurred in 40 cases,the maintained original symptoms occurred in 5 cases,aggravated symptoms occurred in 4 cases and death occurred in one case.A total of 45 cases had integrated follow-up data,among whom 3 cases recurred.Conclusion The kinds and the manifestations of magnum foramen tumors are so different,and MRI examination can give correct location and diagnosis.According to the characteristics of MRI,the appropriate surgical approach and microsurgical resection can have a good clinical effect.

关键词

枕骨大孔/肿瘤/MRI诊断/显微手术

Key words

Foramen magnum/Tumor/MRI diagnosis/Microsurgery

分类

医药卫生

引用本文复制引用

姚军,孙新国,王建刚,宫杰,田东..枕骨大孔区肿瘤的MRI诊断及显微外科治疗[J].中国实用神经疾病杂志,2017,20(14):1-4,4.

基金项目

山东省医药卫生科技发展计划项目,项目编号:2015WS0470 ()

中国实用神经疾病杂志

1673-5110

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