32例颈髓肿瘤显微外科治疗研究  

Microneurosurgicai treatment of 32 cases of cervical spinal cord tumors

作　　者：田松[1] 张凌云[2] 张治平[2] 蒋宇钢[2] 焦慧英[3] 

机构地区：[1]邵阳市第一人民医院神经外科,422001 [2]中南大学湘雅二院神经外科,长沙410011 [3]湖北省武汉市空军雷达学院院物部卫生处,武汉430019

出　　处：《中华神经医学杂志》2008年第7期711-716,共6页Chinese Journal of Neuromedicine

摘　　要：目的探讨颈髓肿瘤的诊断、手术入路选择及手术操作技巧。方法回顾性分析湘雅二院神经外科自2003年6月至2005年6月经手术治疗的32例颈髓肿瘤患者的临床资料。所有患者均经术前MRI确诊．经显微手术切除，术后均行MRI复查。结果手术显微镜下全切肿瘤29例，大部分切除3例，其中2例为星形细胞瘤，1例为脂肪瘤。术后无神经功能障碍加重及死亡者。结论MRI对颈髓肿瘤的诊断具有最重要的价值，据此可以明确肿瘤的大致类型、位置及毗邻关系．选择合适的手术入路。显微外科手术是治疗颈髓肿瘤的有效方法，熟练应用显微外科技术和手术操作技巧是治疗成功的关键因素。Objective To explore the clinical diagnosis, microneurosurgical approach and skills of cervical spinal cord tumors. Methods Clinical data of 32 cases with cervical spinal cord tumors who had received microneurosurgery from June 2003 to June 2005 were analyzed retrospectively. All the cases were confirmed through MR1 examination and then underwent microneurosurgical resection. Postoperative MR1 examination was conducted on all patients. Results Under microscope, 29 cervical spinal cord lesions were totally removed, 3 lesions were subtotally removed which consisted of 2 cases of astrocytomas and 1 case of lipoma. No clinical deterioration or surgical mortality occurred in this series. Conclusions MRI is the most valuable for the diagnosis of the cervical spinal cord tumors and it can determine the possible type, location and adjacent relationship of the tumors, which is helpful for choosing the appropriate operative approaches. Microneurosurgery is the effective treatment for cervical spinal cord tumors. Skilled microneurosurgical techniques are the keys of success in the treatment.

关 键 词：颈髓肿瘤 显微外科手术 磁共振成像 

分 类 号：R739.42[医药卫生—肿瘤]