脊椎嗜酸性肉芽肿（附14例报告）

报道经病理证实的脊椎嗜酸性肉芽肿１４例的治疗结果。其中１２例随访１～１８年，平均４年８个月，９例不全瘫痪者中，７例完全恢复，２例部分恢复；１例完全瘫痪者部分恢复。通过临床资料分析，着重阐述了脊椎嗜酸性肉芽肿的诊断和治疗方法的选择，认为有神经根或脊髓受压者，应以手术治疗为主，结合放疗或化疗；而无神经根或脊髓受压者，以放疗为主，结合化疗。早期诊断和正确的治疗是防止瘫痪发生的关键。

Eosinophilic granuloma of the spine

The therapeutic results of fourteen cases of spinal eosinophilic granuloma verified by pathology were reported. 12 of 14 patients were followed up from 1 to 18 years(averaged 4. 8 years) after operation. 7 of 9 patients with incomplete paraplegia got complete recovery. The rest and 1 of complete paraplegia had partial recuperation. Diagnosis and therapeutic choice of spinal eosinophilic granuloma were elaborated through analysing the clinical materials. The authors considered that the patients who had a compression of spinal neuroroot or spinal cord should be mainly treated by operation combining with postoperative radiotherapy or chemotherapy, and who had no compression might be treated with radiotherapy and chemotherapy. The key to the prevention of patient' s paralysis is the early diagnosis andcorrect therapy.Author' s address (Department of Orthopedic Surgery, The First University Hospital, West China University of Medical Sciences, Chengdu,Sichuan, 610041)