【儿童不同组织结构脊髓肿瘤的临床表现】。

Voprosy neirokhirurgii Pub Date : 1975-09-01
A G Zemskaia, V V Khokhlova, Iu P Krivosheina
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引用次数: 0

摘要

对101例脊髓肿瘤患儿的治疗结果的分析表明,这种病理的临床表现有许多特征,这些特征取决于儿童脊髓和脊柱的组织学结构、高代偿潜力和非凡的可塑性。在这方面,最重要的是评估从全面检查中获得的数据的意义,适当考虑到患者的年龄特征。关于儿童的发病率,首先是神经胶质系列肿瘤,其特点是病程相对较轻,缺乏局灶性和传导症状,与脊髓沿垂直和横切面的病变程度不一致。脑膜系肿瘤是一种罕见的肿瘤,其显著特征是恶性演变的影响与硬膜外定位。尽管异位肿瘤生长密集,但在许多情况下,由于明显的脑膜综合征和极差的局灶症状,异位肿瘤在局部诊断方面存在一些困难。神经胶质系肿瘤的早期手术和放射治疗具有很好的疗效,在治疗早期和后期可部分恢复受干扰的功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The clinical picture of spinal cord tumors with different histostructures in children].

An analysis into the results of treatment accorded to 101 sick children wiht tumours of the spinal cord evidences that the clinical picture of this pathology is distinguished by a number of features that depend on the histological structure, high compensatory potentialities and extraordinary plasticity of the child's spinal cord and vertebral column. In this connection of prime importance becomes the significance of assessing the data derived from a comprehensive examination, due consideration being given to the age-specific features of the patients. As concerns their incidence in children first and foremost are tumours of the glial series, distinguished by a comparatively mild course of the disease, paucity of focal and conduction symptomatology that is incongrous with the extent of the lesion involving the spinal cord both along its vertical and transverse section. The tumours of the meningovasal series are of rare occurrence, their salient feature being malignant evolution of the affection with extradural localization. Notwithstanding their intensive growth the heterotopic tumours cause in a number of cases some difficulty in the topicodiagnostic respect, this being due to a well-pronounced memingeal syndrome with an extremely poor focal symptomatology. An early surgical and radiation treatment of tumours in the glial series renders a realively good curative effect with partial restoration of disturbed functions in the early and late post-treatment periods.

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