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ID:28050368
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页数:16页
时间:2018-12-07
《椎管内脊膜瘤出血2例报道并文献复习》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、[摘要]目的探讨椎管内脊膜瘤出血的临床特征、影像学表现及治疗方法。方法回顾性分析2015年8〜11月收治的2例椎管内脊膜瘤出血患者的临床资料,并结合国内外文献复习,分别就其临床表现、影像学特征、诊断及治疗进行探讨。结果1例患者磁共振(MRI)提示:T9〜10椎管内占位。另外1例患者磁共振提示:C7〜T1椎管内占位。2例患者全麻后在显微镜下行椎管内占位病变切除术+椎管减压术。术中见肿瘤均位于椎管髓外硬膜下,血供丰富,1例瘤内可见出血,另一例瘤内含陈旧血凝块。2例患者术中完整切除肿瘤,清除血凝块,术后病理均证实为脊
2、膜瘤。术后2例患者感觉运动均逐渐恢复。第1例患者发病到手术时间为6h,第2例患者为22h,第1例患者术后恢复较第2例患者好。结论椎管内脊膜瘤出血罕见,MRI是诊断的最佳手段,早期手术可明显改善患者的预后。[关键词]椎管;脊膜瘤;出血;硬膜下[中图分类号]R651.2[文献标识码]C[文章编号]1673-9701(2016)07-0116-03[Abstract]ObjectiveTostudytheclinicalfeatures,imagingfeaturesandtreatmentofspontaneous
3、intraspinalbleedingassociatedwithspinalmeningioma.MethodsTwocasesofspontaneousintraspinalbleedingassociatedwithspinalmeningiomabetweenAugusttoNovemberin2015wereretrospectivelyanalyzedandtheliteratureatdomesticandoverseaswerereviewed.Theclinicalmanifestations
4、,imagingfeatures,diagnosisandtreatmentwerediscussed.ResultsThemagneticresonanceimagingrevealedamassextendingfromT9toT10inonepatientandamassextendingfromC7toT1intheotherone.Thelaminectomywasperformedaftergeneralanesthesiaunderthemicroscopeandthemassinthespina
5、lcanalinthetwocaseswereresectedandthespinalcanalsweredecompressed.Thetumorsofthetwocaseswereshowedfullofbloodsupplyandbothlocatedatsubduralplaceinoperation.Thehemorrhagewasseeninthetumorinonecaseandoutmodedbloodclotwasseenintheother.Themassandbloodclotsofthe
6、twocaseswereremovedenblocintheoperation.Thepathologicalexaminationofthetwocasesrevealedmeningioma.Theneurologicalfunctionofthetwocases[Abstract]ObjectiveTostudytheclinicalfeatures,imagingfeaturesandtreatmentofspontaneousintraspinalbleedingassociatedwithspina
7、lmeningioma.MethodsTwocasesofspontaneousintraspinalbleedingassociatedwithspinalmeningiomabetweenAugusttoNovemberin2015wereretrospectivelyanalyzedandtheliteratureatdomesticandoverseaswerereviewed.Theclinicalmanifestations,imagingfeatures,diagnosisandtreatment
8、werediscussed.ResultsThemagneticresonanceimagingrevealedamassextendingfromT9toT10inonepatientandamassextendingfromC7toT1intheotherone.Thelaminectomywasperformedaftergeneralanesthesiaunderthemicr
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