论文部分内容阅读
目的:探讨高预段脊髓肿瘤的诊断和手术治疗方法。方法:回顾经手术治疗的45例病人的临床资料,对诊断和治疗经验进行总结。结果:本组病人主要临床表现为肢体无力、颈枕部疼痛、麻木,平均病程2年。肿瘤位于髓外硬膜下23例,髓内7例,硬膜外5例,哑铃形肿瘤10例。常见病理类型为神经鞘瘤、胶质瘤、脊膜瘤。手术行肿瘤全切除35例(77.8％),部分切除10例(22.2％)。术后症状消失28例(62.2％),减轻10例(22.2％),无变化5例(11.1％),死亡2例(4.4％)。结论:本病的诊断要依靠MR检查,手术应持积极的态度,根据肿瘤的不同类型采取正确的手术方法,术后要加强对并发症的监护和防治。
Objective: To investigate the diagnosis and surgical treatment of high-section spinal cord tumors. Methods: The clinical data of 45 patients who underwent surgical treatment were reviewed, and the diagnosis and treatment experience were summarized. Results: The main clinical manifestations of this group of patients with limb weakness, neck pillow pain, numbness, the average duration of 2 years. Tumors were located in 23 cases of extramedullary subdural, intramedullary 7 cases, 5 cases of epidural, dumbbell tumors in 10 cases. Common pathological types of schwannoma, glioma, meningioma. Surgical resection of tumor in 35 cases (77.8%), partial resection in 10 cases (22.2%). Postoperative symptoms disappeared in 28 cases (62.2%), reduced in 10 cases (22.2%), unchanged in 5 cases (11.1%) and died in 2 cases (4.4%). Conclusion: The diagnosis of this disease depends on MR examination. The operation should adopt a positive attitude and take the correct operation method according to the different types of tumors. Postoperative care and prevention of complications should be strengthened.