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目的探讨骶骨神经源性肿瘤的临床特点及外科治疗方法。方法回顾性分析2003年至2009年43例骶骨良性神经源性肿瘤患者。年龄21～67岁,平均36.5岁;其中男性23例,女性20例。病理类型:神经鞘瘤27例、神经纤维瘤1 6例。手术采取单纯前路、单纯后路或前后联合入路行肿瘤切除,累及骶髂关节稳定性者行髂腰固定。随访24-89个月。结果围手术期主要并发症为出血、邻近脏器损伤、神经损伤、感染、伤口不愈合以及肿瘤的复发。结论骶骨神经源性肿瘤临床特点明显,手术切除需根据具体分型选择手术入路,巨大肿瘤者术中出血多,术后神经损伤并发症发生率高。
Objective To investigate the clinical features and surgical treatment of sacral neurogenic tumors. Methods A retrospective analysis of 43 patients with sacral benign neurogenic tumors from 2003 to 2009 was performed. Aged 21 to 67 years old, with an average of 36.5 years; of which 23 males and 20 females. Pathological types: schwanoma in 27 cases, neurofibromatosis in 16 cases. Surgery to take a simple anterior, simple posterior or anterior and posterior combined tumor resection, involved in the stability of the sacroiliac joint iliac lumbar fixation. Follow-up 24-89 months. Results The major complications during perioperative period were hemorrhage, adjacent organ damage, nerve injury, infection, wound nonunion and tumor recurrence. Conclusions The clinical features of sacral neurogenic tumors are obvious. Surgical excision should be based on the specific type of surgical approach. Large tumors have more intraoperative bleeding and postoperative complications of neurological injury.