摘要
目的探讨12例髓内畸胎瘤的临床表现及手术治疗效果。方法分析12例髓内畸胎瘤的临床症状及影像学表现,并行显微外科手术治疗,其中颈及颈胸段脊髓内4例,胸髓内2例,圆锥部6例。结果髓内畸胎瘤患者脊椎平片多见脊柱骨性畸形,MRI检查肿瘤多为混杂信号影,术中见肿瘤呈囊实性,与正常脊髓组织无明显分界,肿瘤全切困难,可次全切除,术后肌力障碍恢复良好。结论脊柱平片及MRI对髓内畸胎瘤有定性及定位意义,手术切除是有效的治疗手段。
Objective To discuss clinical presentation and treatment of intramedullary spinal teratoma. Methods A total of 12 cases of intramedullary spinal teratomas were analyzed and treated by surgery including 4 cases locating at cervical and cervical-thoracol region, 2 cases at thoracol region and 6 cases at conus medullaris region. Results There was a concomitant anomaly of the vertebral canal accompanied with intramedullary spinal teratoma. MRI showed the tuInors with mixed signal intensity. During the operation it was found the tumor contained both cysts and hard nodules. It was very difficult to remove the tumor totally. Subtotal removal could be performed and muscle power could be improved by surgery. Conclusion The plain film of vertebra and spine MRI are sensitive method to distinguish teratomas from other tumors. Surgery should be the first choice of treatment.
出处
《中华神经外科疾病研究杂志》
CAS
2008年第2期154-156,共3页
Chinese Journal of Neurosurgical Disease Research
关键词
畸胎瘤
脊髓
髓内肿瘤
Teratoma
Spinal cord
Intramedullary spinal tumor
