【打印本页】 【下载PDF全文】 【HTML】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 1641次   下载 123  
颈髓髓内肿瘤的手术治疗
楼美清,张晓鹏,杨中坚,张光霁,卢亦成,朱诚,丁学华
0
()
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:
基金项目:
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