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目的 对颈段脊髓侧方及腹侧肿瘤的临床分型和手术入路及方法进行探讨。方法 32例,经脊髓造影、CT和MR扫描确诊。根据检查及手术所见进行分类,并进行手术入路比较研究。结果 肿瘤全切28例(87.5％),3例好转,1例(3.1％)死亡。按照肿瘤大小及发展将其分为4类,提出3种手术入路方式。结论 对该部肿瘤进行分类,对每类肿瘤选用相应手术入路有利于全切肿瘤,并强调显微神经外科在切除该部肿瘤时的重要性。
Objective To investigate the clinical classification and surgical approach of lateral and ventral tumors of cervical spinal cord and their approaches. Methods 32 cases were diagnosed by myelography, CT and MR scan. According to the inspection and surgical findings, classification, and surgical approach to comparative study. Results Totally 28 cases (87.5%) had complete tumor resection, 3 cases improved and 1 case (3.1%) died. According to the tumor size and development, it is divided into four categories, and three kinds of surgical approaches are proposed. Conclusions The classification of the tumors in this department and the selection of corresponding surgical approaches for each type of tumor are helpful for total tumor removal and emphasize the importance of microsurgical neurosurgery in resection of the tumor in this department.