■原发性脊髓肿瘤是罕见的肿瘤,通常是异质性的,具有可变的组织病理学亚型。迅速,椎管内不断增长的占位性病变会导致功能严重丧失。本研究旨在分析所有诊断为原发性脊髓肿瘤的成年患者,并描述其位置,症状,组织病理学类型,手术结果,并发症,在一个机构中复发,和预后因素。
■该研究是一项回顾性研究,对2014年至2021年在三级护理研究所神经外科接受手术干预的178例脊柱肿瘤患者进行了回顾性研究。患者人口学特征,症状,放射学特征,肿瘤的脊髓水平,脊柱室,术前和术后麦考密克等级,记录并发症,并对手术干预后的结局进行了比较.
■在我们的研究中,97例患者为男性,其余81例患者为女性。手术时的平均年龄为43.5岁。椎管的胸腔区域最累及67例(37.64%),而硬膜内髓外是最常见的(65.73%)。神经鞘瘤是最常见的组织病理学亚型(46.06%)。154例实现了全部切除。共有37例患者术前处于改良麦考密克等级的4级和5级。然而,术后,该组只有17名患者。两名颈髓内肿瘤患者在术后过期。
■具有良好的显微神经外科手术技巧的早期手术干预可获得良好的预后,而与肿瘤的类型和位置无关。在硬膜外肿瘤中可以看到更好的结果,早期手术干预,肿瘤更适合全切除,以及术前神经状况较好的患者。
UNASSIGNED: Primary spinal cord tumors are rare tumors that are usually heterogeneous having variable histopathological subtypes. Rapidly, growing space-occupying lesions in the spinal canal cause severe loss of function. This study aimed to analyze all adult patients diagnosed with primary spinal cord tumors and to describe their location, symptoms, histopathological types, surgical outcome, complications, recurrence in a single institution, and prognostic factors.
UNASSIGNED: The study was a retrospective study of 178 patients with spinal tumor who underwent surgical intervention at the department of neurosurgery at a tertiary care institute from 2014 to 2021. Patient demographic characteristics, symptoms, radiological features, spinal level of tumor, spinal compartment, preoperative and postoperative McCormick grade, and complications were recorded, and a comparison of outcomes after surgical intervention was done.
UNASSIGNED: In our study, 97 patients were males and the rest of the 81 patients were females. The mean age at the time of surgery was 43.5 years. The thoracic region of the spinal canal was the most involved with 67 (37.64%) cases, whereas intradural extramedullary was the most common (65.73%). Schwannoma was the most common histopathological subtype (46.06%). Total excision was achieved in 154 cases. A total of 37 patients were in Grades 4 and 5 of modified McCormick\'s grade preoperatively. However, postoperatively, there were only 17 patients in this group. Two patients with cervical intramedullary tumor expired in the postoperative period.
UNASSIGNED: Early surgical intervention with sound microneurosurgical skills gives good outcomes independent of the type and location of tumor. Better outcomes are seen in extradural tumors, early surgical intervention, tumors better amenable to total resection, and in patients with better preoperative neurological status.