高颈段脊髓髓内室管膜瘤的显微手术治疗

目的探讨高位颈段脊髓髓内室管膜瘤的特点及显微手术切除方法。方法回顾性分析经显微手术治疗的36例高颈段脊髓髓内室管膜瘤的临床资料及治疗效果。结果肿瘤全切除31例,近全切除5例,无死亡病例。随访个6月～12年,复发2例;根据Mc-Cormick脊髓功能分级,Ⅰ级26例,Ⅱ级6例,Ⅲ级3例,Ⅳ级1例。结论高位颈段脊髓髓内室管膜瘤的临床症状无特异性表现,显微手术治疗可提高治疗效果,是目前最根本的治疗方法。

Microneurosurgery for Intramedullary Ependymomas of Upper Cervical Spinal Cords

Objective To explore the clinical characteristics and microneurosurgical management of the intramedullary ependymomas of the upper cervical spinal cords. Methods The clinical data of 36 patients with upper cervical spinal cord intramedullary ependymomas who underwent microneurosurgery in our department from January, 1996 to September, 2009, were analyzed retrospectively. Results Of these 36 patients, 31 underwent total resection of the tumors and 5 subtotal. There was no death in all the patients. The tumors recurred in 2 patients during following-up from 6 months to 12 years. According to Mc-Cormick clinical function classification, of 36 patients, 26 belonged in grade Ⅰ , 6 in grade Ⅱ, 3 in grade Ⅲ, 1 in grade Ⅳ. Conclusions There were no specific clinical symptoms and signs in the patients with upper cervical spinal cord intramedullary ependymomas. Microneurosurgery can improve curative effect on the patients with upper cervical spinal cord intramedullary ependymomas, and it is the most fundamental treatments at present.