高颈段肿瘤的诊断与手术治疗  

Diagnosis and Treatment of High Cervical Spinal Cord Tumors

作　　者：吴国彪[1] 陆永建[2] 王康[2] 

机构地区：[1]南方医科大学附属新会医院神经外科,广东新会529100 [2]广州医学院第二附属医院神经外科,广东广州510260

出　　处：《河北医学》2010年第6期696-698,共3页Hebei Medicine

摘　　要：目的:探讨高颈段肿瘤的诊断与手术治疗方法。方法:回顾分析我院经确诊为高颈段肿瘤的41例患者,总结其诊断和治疗经验。结果:所有患者均在显微镜下手术,全切39例,大部分切除2例,术后随访半年以上,症状消失24例,改善10例,无变化4例,死亡1例,复发2例。结论:高颈段肿瘤早期缺乏典型特异性临床表现,神经根痛、感觉异常和肢体乏力是其主要临床表现。磁共振有较好的诊断价值。显微手术治疗有利于肿瘤全切除,后正中入路适用于大部分肿瘤。预后主要取决于肿瘤的性质和病程长短、术前神经功能状态。Objective：Summarizing the clinical features of upper cervical spinal cord tumors and improving the diagnosis and treatment in this entity.Method：Documents of 41 patients with upper cervical spinal cord tumors treated in our department were analyzed retrospectively.Result：All patients were microsurgically operated.39 tumors were totally removed,and 2 were subtotally resected.All the patients followed up from 6 months to 8 years,symptoms disappeared in 24 patients,relieved in 10 patients,no improvement in 4 patients,one patient died,and two patients recurred.Conclusion：There is no specific symptom for upper cervical spinal cord tumors,radicular pain and paresthesia or dysesthesia of limbs or trunk and muscle weakness are common manifestations.MRI contributes most to the diagnosis of tumors.Microsurgery is helpful to the total resection of these tumors.Tumor differential and symptomatic duration and preoperative neurological status are of great prognostic value.

关 键 词：高颈段 脊髓肿瘤 显微外科手术 

分 类 号：R739.4[医药卫生—肿瘤]