脊髓肿瘤的早期诊断及手术治疗──附102例临床分析  

Early diagnosis and operative treatment of the neoplasms of spinal cord

作　　者：钟志光[1] 邓跃飞[1] 刘安民[1] 蔡望青[1] 谭平国[1] 钟伟健[1] 林吉惠[1] 陈由芝[1] 

机构地区：[1]中山医科大学孙逸仙纪念医院神经外科,510120

出　　处：《新医学》2000年第12期721-723,共3页Journal of New Medicine

摘　　要：目的：探讨早期诊断脊髓肿瘤及提高手术疗效的方法。方法：对１０２例经手术、病理学证实的脊髓肿瘤资料进行回顾性分析。结果：磁共振定位脊髓肿瘤检出率为１００％，并有辅助定性诊断作用。本组病例手术肿瘤全切除率为的６９％，治愈率６２％，好转率２６％。结论：磁共振是辅助诊断脊髓肿瘤的最佳方法。早期诊断及早期手术切除脊髓肿瘤，及时解除脊柱及脊神经受压是提高治愈率，降低病残率的关键。Objective: To evaluate the methods for early diagnosis of the neoplasms of spinal cord so as to improve the surgical effect. Methods: One hundred and two cases of neoplasms of spinal cord with clear diagnosis condrmed by operation and pathology were retrospectively analyzed and evaluated. Results: The accurate diagnostic rates of magnetic resonance imaging (MRI) for localization of the neoplasms was l00%. MRI could also help to determine the characteristics of the neoplasms. The percentage of patients receiving total resection of tumor was 69%. The cure rate was 62% and the percentage of patients becoming better was 26%. Conclusion: MRI is considered to be the best choice for accessory diagnosis of neoplasms of spinal cord. Early diagnosis and early resection of neoplasms to release the compression of spinal column and spinal nerve are the keys to increase the cure rate and decrease the disability rate.

关 键 词：脊髓肿瘤 诊断 外科手术 磁共振成像 临床分析 

分 类 号：R739.42[医药卫生—肿瘤]