脊髓髓内肿瘤的显微外科手术治疗

目的：探讨脊髓髓内肿瘤显微外科手术治疗的临床疗效。方法：回顾性研究经显微手术治疗的31全 髓髓内肿瘤，对肿瘤病理类型，临床症状、手术时机、手术切除技巧及常见肿瘤的手术方法进行系统分析。结果：全切除肿瘤29例、2例星形细胞瘤次全切,我手术死亡及手术致残者，术后神经系统功能多数得以恢复或改善。结论：显微手术是脊髓髓内肿瘤最有效的治疗方法，用微创性手术技术早期切除肿瘤可获得满意疗效。

Microsurgical treatment of intramedullary spinal cord tumors

Objective To study clinical curative effect of microsurgery of intramedullary spinal cord tumors Methods Thirty one cases of intramedullary spinal cord tumor resected by microneurosurgery were analyzed retrospectively,including tumors histological types,clinical symptoms,appropriated operative time,surgical technique and operative method of the common tumors Results In this series,complete tumor removal was accomplished in 29 cases and sub complete tumor removal in 2 cases of astrocytomas There was no operative morality or severe morbidity The condition of the patients improved in terms of their neurological function after the operations Conclusion The most effective treatment for intramedullary spinal cord tumors is through active microsurgery at present It is very important for the patients to have such minimal traumatic operation at an early stage in order to get satisfactory result