摘要
目的探讨显微手术治疗脊髓髓内肿瘤临床疗效。方法回顾分析我院2005年6月至2009年6月显微外科手术切除15例脊髓髓内肿瘤的临床资料。全切除12例，次全切除及部分切除3例。室管膜瘤8例均全切；星形细胞瘤3例，全切除2例，部分切除1例；脂肪瘤2例次全切除；血管母细胞瘤2例全切除。结果术后随访平均2年，症状消失9例，好转3例，无变化2例，1例星形细胞瘤复发，症状加重。结论对脊髓髓内病变应早期诊断，显微手术治疗仍可取得较好疗效。
Objective To investigate the efficacy of microsurgical treatment of intramedullary spinal cord tumor. Methods The clinical data about 15 patients with intramedullary spinal cord tumor who underwent microsurgical resection in our hospital from June 2005 to June 2009 were retrospectively analyzed. Total resection was performed in 12 cases and subtotal resection and partial resection in 3 cases. Eight patients with ependymocytoma were given total resection. In the 3 cases of astrocytoma, total resection was conducted in 2 and partial resection in one. Two lipoma patients underwent subtotal resection and 2 hemangioblastoma ones experienced total resection. Results The follow - up averaged 2 years. The symptoms disappeared in 9 cases,was improved in 3 and unchanged in 2,and relapsed and worsened in 1. Conclusion Intramedullary spinal cord tumor should be diagnosed as early as possible. Microsurgical treatment for intramedullary spinal cord tumor achieves satisfactory efficacy.
出处
《临床外科杂志》
2010年第7期462-463,共2页
Journal of Clinical Surgery
关键词
脊髓
髓内肿瘤
显微手术
spinal cord
intramedullary tumors
microsurgery
