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脊髓肿瘤的手术治疗
引用本文:车晓明,徐启武,鲍伟民,杨非,顾士欣. 脊髓肿瘤的手术治疗[J]. 中国微侵袭神经外科杂志, 2003, 8(9): 389-391
作者姓名:车晓明  徐启武  鲍伟民  杨非  顾士欣
作者单位:复旦大学附属华山医院神经外科,上海,200040
摘    要:目的 探讨脊髓肿瘤的手术方法和技巧。方法 回顺性分析421例脊髓肿瘤(髓外264例,髓内157例)病人的手术入路、操作方法和手术疗效。结果 肿瘤全切除率88.6%(髓外91.7%,髓内83.4%),神经功能保留率(改善 不变)91.0%(髓外96.6%,髓内81.5%)。结论 对不同部位和不同病理类型肿瘤的切除要遵循不同的方法。

关 键 词:脊髓肿瘤 手术治疗 手术入路 神经功能 医源性损伤 脊柱稳定性
文章编号:1009-122X(2003)09-0389-03
修稿时间:2003-05-12

Surgical treatment on spinal cord tumors
CHEXiaoming,XUQiwu,BAOWeimin,et al Departmentof Neurosurgery,HuashanHospital,FudanUniversity,Shanghai,China. Surgical treatment on spinal cord tumors[J]. Chinese Journal of Minimally Invasive Neurosurgery, 2003, 8(9): 389-391
Authors:CHEXiaoming  XUQiwu  BAOWeimin  et al Departmentof Neurosurgery  HuashanHospital  FudanUniversity  Shanghai  China
Affiliation:CHEXiaoming,XUQiwu,BAOWeimin,et al Departmentof Neurosurgery,HuashanHospital,FudanUniversity,Shanghai200040,China
Abstract:Objective To discussthesurgicalstrategyandtechniqueforspinalcordtumor.Methods Thesurgicalapproach,manipulationas wellas surgicalresultsof421casesof patientwithspinalcordtumorwereretrospectivelyanalyzed.Results Of allthetumors,88.6%were totally removed.91.0%of all patients had got neurological function improved or unchanged.Conclusion The surgical strategy and manipulation were made depended on the pathological nature and location of specific tumor.The principle of the operation is to remove the tumor as more as possible,meanwhileavoidingor minimizingthedamageof thespinalcord.
Keywords:spinalcord  tumor  surgicaltreatment  
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