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 |
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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 |
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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 |