颈段髓内肿瘤的显微手术方法及疗效评价

目的 探讨应用显微外科手术切除颈段髓内肿瘤的手术技巧及临床疗效.方法 徐州医学院附属连云港医院神经外科自2006年1月至2008年12月对收治入院的11例颈段髓内肿瘤施行显微手术治疗,回顾性分析所有患者的临床特征、影像学表现、诊断、肿瘤切除情况以及术前术后神经功能改变.结果 本组患者肿瘤全切除8例,次全切除3例;术后临床神经功能改善7例,保留术前神经功能3例,术后神经功能加重1例;术后无死亡病例.结论 正确的手术方法和熟练的显微手术技巧是提高颈段髓内肿瘤的手术疗效的基础,采用显微外科手术切除肿瘤可获得较好的疗效.

Microsurgical strategies in patients with intramedullary tumors in the cervical spinal cord and their efficacy evaluation

Objective To discuss the microsurgical strategies in patients with intramedullary tumors in the cervical spinal cord and their efficacy evaluation. Methods The clinical manifestations, imaging features, diagnoses of 11 patients with intramedullary tumors in the cervical spinal cord were analyzed retrospectively: the tumors on these patients were resected by microneurosurgery in our hospital during Jan 2006 and Dec 2008; the tumor resection degree was measured and the preoperative or postoperative nerve function was evaluated. Results Of the 11 patients with intramedullary tumors, total resection and subtotal resection were achieved in 8 and 3, respectively. Postoperative nerve functions were alleviated in 7, unchanged in 3 and aggravated in 1. No patient died. Conclusion Appropriate operative strategies and practiced microsurgical technique are the foundation of improving the clinical curative effect of the intramedullary tumors in the cervical spinal cord.