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目的 报道周围神经纤维瘤显微外科技术治疗的效果。 方法 应用显微外科技术手术切除周围神经纤维瘤 11例 ,其中尺神经纤维瘤 3例 ,正中神经纤维瘤 3例 ,胫神经纤维瘤 2例 ,坐骨神经纤维瘤 1例 ,腓总神经纤维瘤 1例 ,马尾神经纤维瘤 1例。 结果 11例肿瘤均通过显微外科手术全切除 ,术后经长期随访 (平均 2年 5个月 )无 1例复发 ,受累神经支配区的功能均得到最大限度的恢复。 结论 应用显微外科技术早期手术 ,术中注意保护神经干的分支和血运及合理地选择术式是手术成功的关键。
Objective To report the effect of microsurgical treatment of peripheral neurofibroma. Methods Surgical resection of peripheral neurofibroma by microsurgical technique was performed in 11 cases, including 3 cases of ulnar nerve fibroma, 3 cases of median neurofibroma, 2 cases of tibial neurofibroma, 1 case of sciatic nerve fibroma, 1 case of common fibroepithelioma , 1 cauda equina neurofibroma. Results All the 11 tumors were totally resected by microsurgery. No recurrence was found after long-term follow-up (mean 2 years and 5 months). The function of the affected innervation area was recovered to the maximum extent. Conclusion The use of microsurgery for early surgery, intraoperative attention to the protection of the branches of the neural stem and blood supply and reasonable choice of surgical procedures is the key to success.