摘要
目的探讨周边神经鞘瘤临床病理分型及临床意义。方法 2000年6月至2009年4月我院收治23例周边神经鞘瘤患者,根据影像学、病理解剖和临床表现,采取合适的手术方法。随访并评价手术的效果。结果 23例患者经6个月至5年的随访,未见复发。21例术后神经功能未受影响,1例桡神经鞘瘤术后患者功能障碍,术后5个月大部分恢复;1例腓总神经术后出现足下垂,行肌腱移位功能重建。结论术前根据病理分型,采用不同切除方式,可最大限度地预防神经功能损伤,降低病残率,为愈后创造条件。
Objective To investigate the pathological classification of peripheral neurilemoma and clinical significance.Methods The data from 23 patients with peripheral neurilemoma who were hospitalized between June 2000 and April 2009 were retrospectively analyzed.The surgical approaches were determined based on imaging presentations,pathological examinations,and clinical manifestations.The surgical outcomes were evaluated at follow-up visits.Results None of the patients had tumor recurrence during the follow-up period of 6 mo to 5 yr.The nerve function remained intact in 21 patients,the nerve dysfunction occurred in one patient with Schwannoma,which resolved in 5 months,and foot prolapse was found in one patient undergoing common perineal nerve operation,which was corrected by tendon reconstruction.Conclusion The preoperative pathological classification determined the resection approaches,minimizing the nerve injuries,decreasing the disability rate,and improving the prognosis.
出处
《医学综述》
2011年第2期316-317,共2页
Medical Recapitulate
关键词
神经鞘瘤
分型
临床意义
Peripheral neurilemoma
Classification
Clinical significance
