摘要
报道显微手术治疗５８例颈髓髓内肿瘤。获全肿瘤切除者５０例，占８６．２％；术后神经系统状态改善者４５例，占７７．６％。表明颈髓髓内肿瘤适宜作肿瘤全切除，手术时机选在患者处于中度神经系统障碍时为好；描述了不同种类肿瘤的手术方法，认为激光手术对脂肪瘤切除最有帮助。提出了术中注意事项和肿瘤全切除的判断标准；阐述了术前放疗的危害性；对治疗后脊髓变细也作了简要讨论。
A series of microsurgery of fifty-eight patients with intramedullary cervical cord tumors is present. Tumors were totally resected in 50 patients, accounting for 86.2%, Forty-five patients improved in neurological status postoperatively, making up 77.6%. It is indicated that intramedullary cervical cord tumor is amenable to total tumor removal. It is preferable to operate on when a patient presents moderate neurological deficit. Proper surgical techniques are described for different tumors. Lipoma is most suitable to be removed using CO_2 laser set. Important points and standards for total tumor resection are proposed. The harmfulness of preoperative radiotherapy is interpreted. Thinned spinal cord after surgery and/or radiotherapy is briefly discussed.
出处
《中华神经外科杂志》
CSCD
北大核心
1996年第3期137-140,共4页
Chinese Journal of Neurosurgery
关键词
颈髓
髓内肿瘤
显微手术
全切除
Cervical cord Intramedullary tumor Microsurgery Total tumor removal
