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目的探讨骶骨区神经源性肿瘤的手术方法和策略。方法选取我院2011年7月-2012年7月间48例骶骨区神经源性肿瘤患者,分别采用前方入路手术、后方入路手术及前后方联合入路手术。结果 41例良性患者均采用边缘性切除,有1例死亡,40例中有37例保留了一侧骶神经。术后7例患者出现腔内积血,5例出现轻重不同的脑脊液漏。复发8例,5例死亡,无瘤生存2例。结论应根据肿瘤生长部位、大小及良恶性情况决定骶骨区神经源性肿瘤手术入路。
Objective To investigate the surgical methods and strategies of sacral region neurogenic tumors. Methods Forty-eight patients with neurogenic tumors of the sacral region from July 2011 to July 2012 in our hospital were enrolled in this study. They were treated with anterior approach, posterior approach and anteroposterior approach respectively. Results Forty-one benign patients were treated with marginal resection, one died, and 37 of 40 cases retained the sacral nerve on one side. Seven patients developed intra-articular hemorrhage and 5 had cerebrospinal fluid leakage of varying severity. Recurrent in 8 cases, 5 deaths, 2 cases of tumor-free survival. Conclusions The surgical treatment of neurogenic tumors in the sacral region should be decided according to the tumor site, size, and benign and malignant conditions.