椎管内肿瘤的早期诊断和治疗

本文报告椎管内肿瘤97例,男62例,女35例。在讨论中特别强调早期诊断的注意点。在治疗方面,提出了高位颈段脊髓肿瘤手术可能引起呼吸停止,讨论了呼吸停止的原因;探讨了硬膜内髓外肿瘤手术时硬脊膜应在肿瘤上方稍偏一侧切开的方法;认为对于圆锥髓内肿瘤根治性手术切除是最适宜的治疗方法。

EARLY DIAGNOSIS AND TRAETMENT OF INTRA-SPINAL CANAL TUMORS

This paper reports 97 operated cases of intra-spinal canal tumors from May, 1965 to May, 1982. In this group 82 were men and 35 female. The patients with clinically complete paraplegia had a relatively poor result of surgery. Therefore this article particularly emphasizes the early diagnosis of intra-spinal canal tumors, In this article, we pose that respiratory stop may be caused by operation on upper cervical cord and analyse the cause of respiratory cease; we probe into the method by which dura should be opened slightly to one side on the upper part of the tumor in operation on extramedullary tumors; we believe that radical resection for conus intramedullary tumors might be optimal treatment.