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高位颈段脊髓肿瘤的诊断与治疗
引用本文:丁学华,朱诚.高位颈段脊髓肿瘤的诊断与治疗[J].上海医学,1993,16(10):569-571.
作者姓名:丁学华  朱诚
作者单位:第二军医大学附属长征医院神经外科,第二军医大学附属长征医院神经外科,第二军医大学附属长征医院神经外科
摘    要:本文报告高位颈段脊髓肿瘤70例,男性44例,女性26例,年龄15~61岁,平均年龄36.6岁。病变位于脊髓外硬膜下48例,髓内21例,硬脊膜外1例,均经手术治疗。结果70例中有51例恢复工作,占73%,生活能自理5例,占7.1%,另8例生活仍不能自理,占11.4%。在院内死亡2例,占2.85%。文章着重强调了手术操作技巧,术中应该注意维持患行的正常呼吸功能及术后的妥善处理等问题,这是手术成功的关键

关 键 词:高位颈段  脊髓  脊髓肿瘤

DIAGNOSIS AND TREATMENT IN THE PATIENTS WITH SPINAL CORD TUMOR AT HIGH CERVICAL LEVEL
Ding Xue-hua et al.DIAGNOSIS AND TREATMENT IN THE PATIENTS WITH SPINAL CORD TUMOR AT HIGH CERVICAL LEVEL[J].Shanghai Medical Journal,1993,16(10):569-571.
Authors:Ding Xue-hua
Institution:Ding Xue-hua et al Department of Neurosurgery,Changzheng Hospital,The Second Military Medical University,Shanghai 200433
Abstract:70 cases or spinal cord tumor at high level(C1-4),Including 48 cases with in- tradural extramedullary,21 cases with intramedullary and 1 case of extradural tumor, were operated on in our hospital from 1975 through 1991.The results showed that, postoperatively,51(73%)patients went back to their jobs,5(7.1%)resumed a normal life and 8(11.4%)couldn't take care of themselves.Two(2.85%) cases died in hos- pital.The authors suggested that successful operations on spinal cord tumors were dependent upon the operative skill,maintaining a normal respiratory function and appropriste postoperative management.
Keywords:Spinal cord tumor  High cervical level
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