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SM ISO690:2012 RAEVSCHI, Maria, MÎNZĂTEAN, Artiom, ZAPLITNÎI, Nina, RUSSU, Olesea, BARBA, Loridana, CIORICI, Victoria, GHIDIRIM, Nicolae. Spinal tumors include all neoplastic formations in the areas of the spine and spinal cord, with different origins. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 280. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Background. Spinal tumor surgery is one of the most difficult branches of neurosurgery. The diagnosis of tumors in case of acute manifestations is quite difficult due to the similarity of the clinical picture with other neurogenic pathologies.Surgical treatment have often at major risk for neuronals structures. Objective of the study. To identify and appreciate of the microsurgical technique of excision of spinal tumors in the treatment tactics that would allow to improve the functional results of the surgical interventions. Material and Methods. Bibliographic synthesis of 58 articles addressing the problem of contemporary treatment of spinal tumors, using over 100 bibliographic sources, published during the years 2009-2019.) Results. For the total of 95 patients were included in the study. There were 56 men and 39 women with age average at the time of surgery being 45 years (18-64). Median time elapsed between the onset of symptoms and surgery was 12 months. The most common symptoms were pain 72%, sensory deficit 63%, and motor deficit 43%, decreased bladder function, decreased gastrointestinal tract function. Two patients underwent surgery at the level spine, and two were previously treated with chemotherapy.The most common histopathological diagnosis was ependymoma (73%, n = 69). Conclusion. I identified the optimal surgical method for the contemporary treatment of spinal tumors which is gross total resection because, at a correct total resection of the spinal cord, it is: the use of the posterior medial groove for medially located tumors. |
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Cuvinte-cheie Spinal tumor, nervous system central, neuro-ectodermal tumors, cheie: tumora spinală, sistemul nervos central, tumori neuroectodermale |
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Cerif XML Export
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Spinal tumor surgery is one of the most difficult branches of neurosurgery. The diagnosis of tumors in case of acute manifestations is quite difficult due to the similarity of the clinical picture with other neurogenic pathologies.Surgical treatment have often at major risk for neuronals structures. Objective of the study. To identify and appreciate of the microsurgical technique of excision of spinal tumors in the treatment tactics that would allow to improve the functional results of the surgical interventions. Material and Methods. Bibliographic synthesis of 58 articles addressing the problem of contemporary treatment of spinal tumors, using over 100 bibliographic sources, published during the years 2009-2019.) Results. For the total of 95 patients were included in the study. There were 56 men and 39 women with age average at the time of surgery being 45 years (18-64). Median time elapsed between the onset of symptoms and surgery was 12 months. The most common symptoms were pain 72%, sensory deficit 63%, and motor deficit 43%, decreased bladder function, decreased gastrointestinal tract function. Two patients underwent surgery at the level spine, and two were previously treated with chemotherapy.The most common histopathological diagnosis was ependymoma (73%, n = 69). Conclusion. I identified the optimal surgical method for the contemporary treatment of spinal tumors which is gross total resection because, at a correct total resection of the spinal cord, it is: the use of the posterior medial groove for medially located tumors.</p></cfAbstr> <cfAbstr cfLangCode='RO' cfTrans='o'><p>Introducere. Chirurgia tumorilor spinale este una din cele mai dificile ramuri ale neurochirurgiei. Diagnosticul tumorilor, în cazul unor manifestări acute, este destul de dificil din cauza asemănării tabloului clinic cu alte patologii neurogene.Tratamentul chirurgical este deseori cu risc major. Scopul lucrării. Identificarea și aprecierea tehnicii microchirurgicale de excizie a tumorilor spinale în tactica tratamentului, ce ar permite de a îmbunătăți rezultatele funcționale ale intervențiilor chirurgicale. Material și Metode. Sinteza bibliografică a 58 articole ce abordează problema tratamentului contemporan al tumorilor spinale, utilizând peste 100 de surse bibliografice, publicate în perioada anilor 2009-2019. Rezultate. În total, 95 pacienți au fost incluși în studiu. Au fost 56 bărbați și 39 de femei, cu vârsta medie, la momentul intervenției chirurgicale, de 45 de ani (18-64). Timpul median scurs între debutul simptomelor și intervenția chirurgicală a fost de 12 luni. Cele mai frecvente simptome au fost: durerea, deficitul senzorial, deficit motor, scăderea funcției vezicii urinare, scăderea funcției tractului gastro-intestinal. Doi pacienți au fost supuși anterior unei intervenții chirurgicale la nivelul coloanei vertebrale, iar doi au fost tratați anterior cu chimiopreparate. Cel mai frecvent diagnostic histopatologic a fost ependimomul (73%, n = 69). Concluzii. 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