脊髓肿瘤的显微手术治疗  

Microsurgical Management in Spinal Cord Humors

作　　者：朱卫[1] 张晓彪[1] 胡凡[1] 余勇[1] 李秋平[1] 周浩[1] 江瀛川[1] 张煜[1] 崔尧元[1] 

机构地区：[1]复旦大学附属中山医院神经外科,上海200032

出　　处：《中国临床医学》2006年第1期55-57,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:研究脊髓肿瘤的显微手术技术。方法:回顾分析了63例采用显微手术切除的脊髓肿瘤病例(髓外硬膜下39 例,髓内24例)的临床资料。结果:全切除55例,次全切除4例,部分切除4例。术后随访57例、随访期1-78个月,51例结果良好,6例结果差(3例死亡)。结论:显微手术治疗脊髓肿瘤结果较好。不同类型的肿瘤应采用不同的手术方法,熟练的显微技术和对脊髓保护意识是手术成功的关键。Objective： To study the microsurgical techniques on spinal cord tumors. Methods： 63 patients with spinal cord tumor, which were 39 cases of extramedullary intmdural tumor and 24 eases of intramedullary tumor, were studied retrospectively. Microsurgical techniques were used to remove these tumors. Results： Total resection was performed on 55 cases, subtotal resection on 4 cases, and part resection on other 4 cases. There were 57 patients who were accepted follow-up after operation in one to 78 months. Among these eases, 51 patients had good results, 6 patients had poor results which including 3 dead cases. Conclusion：There were good results in patients with spinal cord tumor treated with rnicrosurgery. Different surgical techniques are used in different kinds of spinal tumor. Good results could be gotten by the experienced microsurgical technique and the desire protection in spinal cord.

关 键 词：脊髓 肿瘤 显微外科 

分 类 号：R739.42[医药卫生—肿瘤]