| 摘要: |
| 目的：探讨颈髓髓内肿瘤的手术治疗问题。方法：对73例颈髓髓内肿瘤的临床、影像学表现，手术治疗方法、疗效等方面进行回顾性总结分析。结果：全组无手术死亡;1985年以前颈髓髓内肿瘤22例，全切除7例，占31.8％;1985年至1998年6月共51例，全部采用显微外科手术切除，其中肿瘤全切除43例，占84.3％。随访5个月至16年9个月，失访11例，实际随访62例。其中存活51例，42例(82.3％)已经恢复工作和家务，4例(7.8％)生活自理,尚有5例(9.8％)不能自理生活。结论：利用显微外科技术切除脊髓髓内肿瘤是目前最有效的治疗方法，能明显提高肿瘤的全切除率。同时应重视术中和术后的呼吸监测和呼吸道的管理。 |
| 关键词: 颈髓、髓内肿瘤、显微外科 |
| DOI： |
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| 基金项目: |
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| Operative treatment of intramedullary cervical cord tumor |
| 楼美清,张晓鹏,杨中坚,张光霁,卢亦成,朱诚,丁学华 |
| () |
| Abstract: |
| Objective:To study the surgical technique for intravertebral tumor in cervical, decrease their morbidity, enhance the ratio of curability. Methods:Clinical manefestation, radiology, microsurgical methods and results of follow-up were summarized retrospectively in 73 cases in past 23 years. Results:There were no death after surgery, among 22 cases of intravertibral tumor before 1985, 7 cases (31.8%) were totally removed. There were 51 cases after 1985. All were removed through microsurgical technique, 43 of them (84.3%) were totally removed. Follow-up time was 5 months to 16.75 years, 62 cases were followed up and 11 cases missed. 51 cases were alive, 42 cases (82.3%)retuned to work while 4 cases (7.8%) were able to help themselves live normal life. Five cases were not able to live alone(9.8%). Conclusion:Microsurgical technique is recommanded as ultimate treatment to intravertabral tumor at present. It enhances the ratio of tumor removal, and it is important to administrate the respiratory and airway. |
| Key words: cervical cord intramedullary tumor microsurgery |
