경막내 척수종양의 수술적 치료

국문 초록 (Abstract)

목적: 정형외과 영역에서 수술 현미경을 이용한 경막강내 척수외 종양에 대한 치료결과를 평가하고자 하였다.
대상 및 방법: 2001년 6월부터 2007년 5월까지 2개의 병원에서 경막강내 종양으로 절제술을 시행받은 11예를 대상으로 하였다. 평균연령은 62.4 (33-78)세로 남자 3예, 여자 8예였으며, 평균 추시기간은 18.8(1-78)개월이었다. 전 예에서 술 전 자기공명영상을 시행하여 진단하고, 수술용 현미경의 보조하에 종괴를 절제한 후 병리조직학적 소견으로 확진하였다. 임상적 평가는 시각 통증 지수 및 Cooper-Epstein 등급을 이용하여 평가하였다.
결과: 신경초종이 7예, 수막종이 4예였고, 시각통증지수는 술 전 평균 9.4에서 최종 추시상 2.4로 호전되었으며, Cooper-Epstein 등급은 술 전 평균 2.4에서 최종 추시상 0.7로 호전되었다.
결론: 수술 현미경을 이용한 경막강내 종양 절제술로 정형외과 영역에서도 양호한 결과를 얻을 수 있었다.

다국어 초록 (Multilingual Abstract)

Purpose: This article aims at evaluating the results of treatment which excise the intradural extramedullary tumor using surgical microscope, mainly concerned by the field of orthopaedic surgery.
Materials and Methods: A retrospective review was carried out on 11 cases who were operated on for the excision of intradural extramedulary tumor in two hospitals from June 2001 to May 2007. Of the 11 cases, there were 3 males, and 8 females with an average age of 62.4 (33-78) years. Average follow-up period is 18.8 (1-78) months. Patients were diagnosed by MRI and pathological diagnosis was analyzed. The clinical evaluation was made by the index of VAS (visual analogue scale) and Cooper-Epstein grade.
Results: 7 cases were Schwannoma and 4 cases were meningioma. The VAS take a favorable turn from average 9.4 before practice to final follow-up 2.4, and the Cooper-Epstein grade take a favorable turn from average 2.4 to final follow-up 0.7
Conclusion: A fine result of excision of the intradural extramedullary tumor with using surgical microscope could be acquired even in the field of orthopedic surgery.

목차 (Table of Contents)

• 서론
• 대상 및 방법
• 결과
• 고찰
• 결론
• 참고문헌
• 국문초록

참고문헌 (Reference)

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