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引用次数: 0
摘要
摘要 本研究描述了一名采用单侧双侧内窥镜技术(UBE)完全切除硬膜外肿瘤(IDEM)的患者,取得了令人满意的临床效果。一名 60 岁的妇女被诊断为脑膜瘤,下肢和会阴部感觉和运动功能障碍以及步态障碍已有三年之久,最近一个月病情加重。术前造影数据显示,T10水平有一个巨大的IDEM肿瘤,严重压迫右侧胸椎脊髓,椎管内侵犯80%。通过 UBE 手术完全切除了 IDEM 肿瘤。据我们所知,这项研究可能是首次报道应用 UBE 技术治疗 IDEM 肿瘤。在本病例中,UBE 提供了一个放大和清晰的手术视野、更大的可操作性以及创伤更小的手术过程。手术目标是病理确认、脊髓减压和肿瘤完全切除,所有目标均已实现。患者对临床症状的显著改善表示满意。对于有症状的 IDEM 良性肿瘤,尤其是外侧和后方的非巨大肿瘤,UBE 可能是另一种手术治疗选择。
Unilateral Biportal Endoscopy for the Resection of Thoracic Intradural Extramedullary Tumors: Technique Case Report and Literature Review
Abstract This study describes a patient with an intradural extramedullary (IDEM) tumor removed entirely using the unilateral biportal endoscopic technique (UBE), achieving satisfactory clinical outcomes. A 60-year-old woman had a diagnosis of meningioma with sensations and motor dysfunction in the lower extremities and perineum and gait disturbances for three years, which has worsened over the last month. Preoperative imaging data showed a sizeable IDEM tumor at the T10 level, significantly compressing the thoracic spinal cord to the right side, with 80% intraspinal encroachment. The IDEM tumor was removed entirely by UBE surgery. To the best of our knowledge, this study may be the first to report the application of UBE techniques for IDEM tumor treatment. In this case, UBE provides a magnified and clear surgical field, greater maneuverability, and a less invasive surgical procedure. The procedure objectives were pathological confirmation, spinal cord decompression, and complete tumor removal; all were met. The patient was satisfied with her dramatically improved clinical symptoms. UBE may be an alternative surgical treatment option for benign IDEM tumors presenting with symptomatic, especially the non-giant lateral and posterior tumors.
期刊介绍:
International Medical Case Reports Journal is an international, peer-reviewed, open access, online journal publishing original case reports from all medical specialties. Submissions should not normally exceed 3,000 words or 4 published pages including figures, diagrams and references. As of 1st April 2019, the International Medical Case Reports Journal will no longer consider meta-analyses for publication.