摘要
目的 总结治疗椎管内肿瘤的经验。方法 回顾性分析过去 2 5年来我科对 40 2例椎管内肿瘤的手术疗效结果。结果 本组椎管内肿瘤脊膜瘤 136例 ( 33 8% ) ,神经鞘瘤 130例 ( 32 3% ) ,室管膜瘤 2 8例 ( 7% ) ,星形细胞瘤 2 1例 ( 5 2 % ) ,脂肪瘤 19例 ( 4 7% ) ,转移瘤 16例 ( 4% ) ,血管瘤 11例 ( 2 7% ) ,蛛网膜囊肿 10例 ( 2 5 % )及少见的肿瘤如淋巴瘤、先天性肿瘤、结核瘤等。肿瘤位于髓外硬膜内 ,占 6 8 6 % ,位于硬膜外者 16 2 % ,位于脊髓髓内者占 17 7%。肿瘤位于颈部者2 9 6 % ,位于胸段者占 5 2 % ,位于腰段者占 10 4% ,骶段占 8%。肿瘤全切除率为 72 4% ,髓外肿瘤为 74% ,髓内肿瘤为 6 2 % ,室管膜瘤显微镜下全切除率为 92 9%。出院时运动功能障碍 77 9%得以改善 ,感觉障碍改善率为 74 9% ,括约肌功能障碍改善率为 78 4% ,自发性疼痛 84%消失。结论 椎管内肿瘤以良性居多 ,手术效果好 。
Objective In order to summarized the surgical outcome of intraspinal tumors. Methods The surgical results of 402 intraspinal tumor cases in the department of Neurosurgery Tianjin Medical University Hospital for last 25 years were analyzed.Results In this group, meningiomas was the common tumor. With a proportion of 338%, while neurinoma was in 323%. There were 71 cases of intramedullary spinal cord tumors (177%). 408 operations were performed in those 402 cases, and 411 tumors had been removed. The total removal of tumors was got in 724% cases, especially for intramedullary ependymoma, total removal was in 929%. After surgery, the neurological deficits has improved from 74%784%. The reasons of the outcome improved in recent years was due to use the MR imaging for early diagnosis and use the microsurgical techniques. Conclusion Most of intraspinal tumors is benign, the surgical outcome is good. In order to improve the results of surgical treatment, to use MR imaging for early diagnosis and microsurgical technique is necessary.
出处
《中华神经外科杂志》
CSCD
北大核心
2000年第3期162-164,共3页
Chinese Journal of Neurosurgery
