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报道1959～1990年31例(男17例,女14例)<17岁儿童脊髓原发性肿瘤手术与放射联合治疗的结果。28例有组织学诊断者15例为星形细胞瘤,11例为室管膜瘤,混合性少突星形细胞瘤及神经节胶质瘤各1例,3例病史不明。星形细胞瘤中15例中12例,室管膜瘤11例中8例为低恶性,前者年龄0～16岁(中数5),后者8～16岁(中数12)。颈髓5例,颈胸9例,胸3例,胸腰6例,腰8例。室管膜瘤多位于远端,11例中7例位于L1～5,累及马尾、终丝或脊髓圆锥。15例星形细胞瘤中无1例位于远端。所有患者在作了诊断性脊髓造影后,继而作了椎板切除减压,31例中11例(35％)未切除肿瘤,14例
Reported 1959-1990 31 cases (17 males and 14 females) <17-year-old children with primary spinal cord surgery and radiotherapy combined results. Twenty-eight cases were diagnosed as histologically astrocytoma, 11 cases were ependymoma, mixed oligodendrocyte and ganglion glioma in 1 case, 3 cases of unknown history. Among the 15 cases of astrocytomas, 12 cases were ectopic and 8 cases of ependymomas were low malignant. The former was 0-16 years (median 5) and the latter 8-16 years (median 12). 5 cases of cervical spinal cord, 9 cases of cervical thoracic, 3 cases of thoracic, 6 cases of thoracolumbar and 8 cases of lumbar. Ependymoma mostly located in the distal, 7 cases in 11 cases located in L1 ~ 5, involving cauda equina, terminal filament or spinal conus. None of 15 astrocytomas were distal. All patients underwent diagnostic laminectomy followed by laminectomy and decompression. Tumors were not removed in 11 of 31 (35%) and in 14