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作者于1955～1985年对275例椎管肿瘤施行了手术,其中对6例椎管内-后纵隔哑铃形肿瘤患者施行经胸腔一期全切除肿瘤手术,疗效甚佳。文中详细介绍了手术方法、诊断标准,术后均进行了随访,时间3～4年,5例出院后3～5个月恢复工作;1例小儿出院3个月步行上学。作者认为本手术具有以下优点:①不必作椎板切除又作开胸术;②不需分二期手术;③手术能在直视下进行,视野宽阔,利于操作:④对肿瘤定位准确;⑤不作椎板切除,可完全避免脊髓损伤;⑥止血彻底、引流充分。但还必须注意下述
From 1955 to 1985, the authors performed an operation on 275 cases of spinal canal tumors. Among them, 6 cases of intrapelvic-posterior mediastinal dumbbell tumors underwent one-stage total resection of tumors with good results. The surgical method and diagnostic criteria were described in detail in this article. Follow-ups were followed up for 3 to 4 years. Five patients resumed work 3 to 5 months after discharge. One patient was discharged to school for three months. The author believes that this surgery has the following advantages: 1 do not have to do laminectomy and open thoracotomy; 2 does not require two phases of surgery; 3 surgery can be performed under direct vision, wide vision, easy to operate: 4 accurate positioning of the tumor; 5 Without laminectomy, spinal cord injury can be completely avoided; 6 hemostasis is thorough and drainage is adequate. But it must also pay attention to the following