Micro Department Of Neurosurgery Treatment And Prognosis Analysis Of Cervical Intraspinal Tumor

Objective:To investigate the therapeutic effect of microsurgical operation in the Department of Neurosurgery of cervical intraspinal canal tumors and analysis of relevant factors on the prognosis of patients with cervical intraspinal tumor after operation.Methods:A retrospective analysis of cancer patients in the October 2012-September 2014 at the First Affiliated Hospital of Kunming Medical University, treated 42 patients with cervical spinal neurosurgery after surgery for histological type, clinical features, imaging findings, diagnosis, surgery and effects, using cervical JOA scoring system for all patients before surgery, postoperative functional status of spinal nerves score. Preoperative neurological function overall score-the overall score of spinal cord nerve function paired t-test analysis, adjusted for age, sex, tumor mass segment, preoperative neurological function score, tumor extent, tumor histological type and prognosis the correlation between the multiple linear regression analysis. All data applications SPSS20.0 statistical software for analysis.Results:All tumors were adopted after the middle of the road and replanted spinous process lamina complex, were confirmed by pathological examination after surgery, 42 patients in which extramedullary schwannoma 15 cases,12 cases of meningioma, neurofibroma one case. Intramedullary ependymoma six cases. Vascular reticular cell tumor in 4 cases,4 cases of congenital tumors (3 cases of intestinal tumor, hamartoma one case). Lamina segments 2-6 paragraph (mean 3.1 ± 1.0 segments) cut. Schwannoma 15 cases,15 cases of total resection; meningioma total of 12 cases,12 cases of total resection; neurofibroma one case of full cut; ependymoma six cases of total resection in 3 cases, one case of near total resection, subtotal Cut two cases; 4 cases of tumor tissue vascular network cells, whole cut three cases, one case of near total resection; intestinal cyst in 3 cases,2 cases of full-cut, full cut of nearly one case; hamartoma full cut one case. No early postoperative complications, no worse and deaths. Last follow-up motor function improvement rate of 85.7%(12/14), sensory function improvement rate of 82.3%(28/34),86.4% improvement in spontaneous pain (19/22), sphincter dysfunction improvement rate of 100%(2/2). At last follow cervical axial symptoms 0%(0/42), review the cervical spine X-ray CT reconstruction or no cervical abnormalities seen in some patients lamina bone healing. Preoperative neurological function overall score-the overall score of spinal cord nerve function paired t test analysis, the spinal cord nerve function and spinal cord function after preoperative scores were significantly different, and postoperative neurological function was significantly better than before surgery; for multiple linear regression analysis adjusted for age, sex, tumor mass segment, preoperative neurological function score, the degree of tumor resection, tumor histological type and prognosis, obtain preoperative neurological function JOA score and cervical spinal cord function after cervical JOA score was positively correlated with the degree of tumor resection after cervical spinal cord function JOA scores were negatively correlated, that preoperative functional status of spinal nerves as possible, the better the prognosis, The closer the tumor totally removed, the better the prognosis. Spinous lamina replantation make interspinous ligament complex preserved complex reconstruction patient of cervical posterior column structure, stability and effective protection of the cervical spine patients.Conclusion:1 Microsurgical technique has improved, the internal cervical spinal cord tumor total resection rate, satisfactory.2 After the internal cervical spinal tumors diagnosis early consideration should neurosurgery surgery, preoperative functional status of spinal nerves as possible, the better the prognosis, tumor closer to full cut, the better the prognosis.3 Spinous process lamina complex replantation, to help protect the stability of cervical spine, so that patients have a better prognosis.