腰椎神经鞘瘤1例诊治分析并文献复习

Analysis of the Diagnosis and Treatment of Lumbar Schwannoma: A Case Report and Literature Review

摘要: 神经鞘瘤又称神经膜纤维瘤或者雪旺瘤，是一种起源于神经鞘结构的肿瘤，性质为良性，多呈单发性生长，好发部位主要位于脊神经后根和肋间神经，其次为交感神经、迷走神经和喉返神经。根据组织结构特点可分为致密型和网状型两种，该病最常见于40~60岁的中年人及有神经鞘瘤家族病史者，临床典型症状为肿物压迫神经导致的肢体酸麻感、感觉及运动障碍。本病非手术治疗难以治愈，手术治疗方法是主要的治疗手段。

Abstract: Schwannoma is a kind of tumor which often originates from the nerve sheath and it is always benign in nature. Besides, the disease is mostly solitary in growth and the preferred sites are mainly lo-cated in the posterior spinal nerve roots and intercostal nerves, followed by the sympathetic nerve, vagus nerve and the recurrent laryngeal nerve. They can be divided into two types, dense and re-ticulated according to the structural characteristics of the tissue. The disease is most common in middle-aged people aged 40~60 years old and in those with a family history of nerve sheath tumor. The typical clinical symptoms are numbness, sensory and motor impairment as a result of com-pressing nerve by the swelling. The disease is difficult to be cured by non-surgical treatment. So the surgical treatment is the main treatment method.