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shou shu zhi liao yao zuo bu zhui guan zhi fang ji mo liu 9 li
Author(s): 
Pages: 292
Year: Issue:  3
Journal: Qianwei Journal of Medicine & Pharmacy

Abstract: 选择1992-04~2000-06手术治疗腰骶部椎管脂肪脊膜瘤9例。男6例,女3例。年龄9~24岁,平均17.5岁。9例患者均在出生后发现腰骶部长一囊性肿物,以后随年龄而增大。影像及超声检查提示:患者均有腰骶部脊柱裂,长度1~3椎节,瘤体于椎管内通过脊柱裂处与椎管外相联结,在脊柱裂处有一瓶颈形蒂,在椎管外瘤体向背部或骶臀部呈菜花样生长,瘤体最大为13cm×22cm,横径大于纵径。手术方法:以瘤体为中心采用横形梭形切口,以瘤体周边下端和腰背筋膜后面为界线,向瘤体中心钝性分离,当分离至接近脊柱裂周边时,从瘤体包膜外面(在此之外瘤体无包膜)分离至脊柱裂边缘,先切除其颈部以外瘤体,然后将包膜内瘤体从椎
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