经后正中入路行高位颈椎椎管内肿瘤全切除术视频：颅颈交界区神经鞘瘤的外科手术治疗
Topic: Surgical management of schwannomas in the craniocervical junction region
作者：吴浩，陈永杰，菅凤增
Authors: WU Hao, Chen Yong-jie, JIAN Feng-zeng
原文链接：中国现代神经疾病杂志, 2013, 13(11):936-940
Associated with: Chinese Journal of Contemporary Neurology and Neurosurgery, 2013, 13(11):936-940
摘要：高位颈椎管椎内肿瘤可偏向一侧生长，常侵犯神经根孔。手术切除时，考虑到脊柱稳定性，行半椎板切除以扩大肿瘤显露范围。对于肿瘤体积较大、难以完整切除的肿瘤，采取囊内分块切除，提高手术安全性，同时亦能够缩小肿瘤体积，当肿瘤囊内减压到一定程度时，采用神经钩游离肿瘤边缘，全切除残留肿瘤。对于位于神经根孔处的肿瘤，需打开颈椎侧块以达全切除。
Introduction: The high-level intraspinal tumor, especially as to the neurinoma, was usually located in one side, and meanwhile invaded the corresponding foramen. Considering the stability of cervical spine, hemilaminectomy was selected as the approach to dissect the tumor. However, sometimes because of the huge volume, en bloc resection was hardly achieved; debulking technique was used to lessen the tumor safely. Decompressed to some degree, the tumor could be removed via nerve hook, and then the leftover tumor could be dissected wholly. As to the tumor in the foramen, the cervical lateral mass was removed to achieve total resection.
Topic: Surgical management of schwannomas in the craniocervical junction region
作者：吴浩，陈永杰，菅凤增
Authors: WU Hao, Chen Yong-jie, JIAN Feng-zeng
原文链接：中国现代神经疾病杂志, 2013, 13(11):936-940
Associated with: Chinese Journal of Contemporary Neurology and Neurosurgery, 2013, 13(11):936-940
摘要：高位颈椎管椎内肿瘤可偏向一侧生长，常侵犯神经根孔。手术切除时，考虑到脊柱稳定性，行半椎板切除以扩大肿瘤显露范围。对于肿瘤体积较大、难以完整切除的肿瘤，采取囊内分块切除，提高手术安全性，同时亦能够缩小肿瘤体积，当肿瘤囊内减压到一定程度时，采用神经钩游离肿瘤边缘，全切除残留肿瘤。对于位于神经根孔处的肿瘤，需打开颈椎侧块以达全切除。
Introduction: The high-level intraspinal tumor, especially as to the neurinoma, was usually located in one side, and meanwhile invaded the corresponding foramen. Considering the stability of cervical spine, hemilaminectomy was selected as the approach to dissect the tumor. However, sometimes because of the huge volume, en bloc resection was hardly achieved; debulking technique was used to lessen the tumor safely. Decompressed to some degree, the tumor could be removed via nerve hook, and then the leftover tumor could be dissected wholly. As to the tumor in the foramen, the cervical lateral mass was removed to achieve total resection.
ISSN: 1672-6731