颈髓髓内肿瘤的手术治疗  

Operative treatment of intramedullary cervical cord tumor

作　　者：丁学华[1] 朱诚[1] 卢亦成[1] 张光霁[1] 杨中坚[1] 张晓鹏[1] 楼美清[1] 

机构地区：[1]第二军医大学长征医院神经外科

出　　处：《第二军医大学学报》1999年第7期428-430,共3页Academic Journal of Second Military Medical University

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。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 followup 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. Followup 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 (78%) were able to help themselves live normal life. Five cases were not able to live alone(9.8%). HZConclusion: 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.

关 键 词：颈髓髓内肿瘤 显微外科手术 疗效 

分 类 号：R739.420.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]