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延颈髓交界处髓内肿瘤的诊断与显微手术治疗
引用本文:徐启武,鲍伟民. 延颈髓交界处髓内肿瘤的诊断与显微手术治疗[J]. 中国临床神经科学, 1994, 2(1): 15-17,35
作者姓名:徐启武  鲍伟民
作者单位:上海医科大学神经病学研究所 200040(徐启武,鲍伟民),上海医科大学神经病学研究所 200040(毛仁玲)
摘    要:报道显微手术治疗10例延颈髓交界处髓内肿瘤(ITCJ),肿瘤全切除6例,次全切除4例,无手术死亡,70%病例术后好转。ITCJ可分为颈延型和延颈型两大类型。MRI是诊断本病的主要方法,并且具有指导手术的重要意义。结果也表明,显微手术方法和术后呼吸功能监护很有必要。

关 键 词:延颈髓交界处  髓内肿瘤  MRI  显微手术

Diagnosis and Microsurgery of Intra-axial Tumors of Cervicomedullary Junction
Xu Qi-Wu et al Institute of Neurology. Diagnosis and Microsurgery of Intra-axial Tumors of Cervicomedullary Junction[J]. Chinese Journal of Clinical Neurosciences, 1994, 2(1): 15-17,35
Authors:Xu Qi-Wu et al Institute of Neurology
Affiliation:Xu Qi-Wu et al Institute of Neurology. Shanghai Medical University. Shanghai
Abstract:Ten cases of the intra-axial tumors of cervicomedullary junction were reported. Tumors were totally removed in 6 cases, subtotally in 4 cases. There was no operating death. Symptoms and signs were improved in 70% of all cases after operation. We considered that the intra-axial tumors of cervicomedullary junction can be divided into two types, cervicomedullary and medullocervical one. The main method in diagnosis of this disease is MRI, which possesses important significance in directing operation. It is emphasized to use microsurgery during operation, and to monitor respiratory function and to treat respiratory distubance (if occur) after operation.
Keywords:Cervicomedullary junction   Intra-axial tumor. Magnetic resonance imaging Microsurgery
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