摘要
目的探索椎管内脂肪瘤的临床学、影像学特点以及治疗原则。方法回顾性分析17例椎管内脂肪瘤患者的临床和影像学资料。17例患者中,男10例,女7例,年龄3～65岁;以多肢体麻木无力、感觉异常和大小便障碍为主要临床症状,体征则以肢体肌力、肌张力变化为最多见,影像学表现CT低密度、MRI短T_1长T_2信号,手术治疗原则为椎板切除减压术加病变切除术。结果术前以MRI检查可准确定位病变,定性诊断仅1例有误,手术治疗结果除1例外,临床症状均有不同程度缓解。结论 MRI在诊断椎管内脂肪瘤中有重要作用,而椎板切除减压术加病变切除术应作为该疾病的常规治疗手段。
Objectives To explore clinical and imaging features of intraspinal lipoma,and to improve the technique for its diagnosis and treatment.Methods Retrospective analysis of clinical and imaging data of 17 patients with intraspinal lipoma was made. Of 17 patients with intraspinal lipoma,10 were male and 7 female.Their ages were from 3 to 65 years old.The clinical manifestations mainly included limb numbness,asthenia and,paresthesia.The physical signs included the changes in limb muscle strength and, muscular tension.CT scan showed that in the intraspinal lipoma was low dense.The signals of the intraspinal lipoma on MRI were short T_1 and long T_2.Laminectomy and resection of the tumors were performed in 17 patients with intraspinal lipomas.Results The localization diagnosis of the intraspinal lipoma in all the cases and the qualitative diagnosis in all but one was made by MRI.The clinical symptoms were improved after the operation in 16 of 17 patients with intraspinal lipomas.Conclusion Right diagnosis of the intraspinal lipoma can be made by MRI.The laminectomy and resection of the tumors should routinely be performed in the patients with intraspinal lipomas.
出处
《中国临床神经外科杂志》
2003年第4期258-259,共2页
Chinese Journal of Clinical Neurosurgery
关键词
椎管内
脂肪瘤
显微外科
Intraspinal lipoma
MRI
Diagnosis
Treatment
