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目的:总结30例斜坡脊索瘤的手术治疗方法和疗效。方法:经多种入路手术切除肿瘤。结果:本组斜坡脊索瘤全切除6例,次全或大部切除18例,部分切除6例。随访20例,时间平均4.5年。11例患者病情好转或稳定,6 例肿瘤复发再次手术后好转,3例死亡。结论:根据斜坡脊索瘤的侵及范围、大小,选择合适的手术入路;全切除肿瘤是治疗的最有效方法,对于不全切除者加用放疗可延缓肿瘤生长。
Objective: To summarize the surgical treatment and efficacy of 30 cases of chordoma. Methods: Surgical removal of tumors by various approaches. Results: The group of chordoma total incision in 6 cases, subtotal or partial resection in 18 cases, partial resection in 6 cases. Follow-up of 20 cases, an average of 4.5 years. Eleven patients improved or stable condition, 6 cases of tumor recurrence improved again after surgery, 3 patients died. Conclusion: According to the extent and size of ramp chordoma invasion, the appropriate surgical approach is selected. Totally resection of the tumor is the most effective method for treatment, and radiotherapy for incomplete excision can delay tumor growth.