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报道显微手术治疗2例长25cm和30cm的罕见超长型脊髓内室管膜瘤,1例全切除,1例次全切除,术后神经系统症状体征均获改善。对手术切除技巧,脊髓背侧切开部位及术后呼吸功能的维持等进行了讨论,强调对于脊髓内甚至累及延髓边界清楚的室管膜瘤应在显微镜下仔细分离,尽可能做到全切除。但对沿中央管向远处侵犯的细小病变,且受累脊髓外观无明显增粗的部分不可勉强切除,以免加重神经废损。
Reported microsurgical treatment of 2 cases of 25cm and 30cm long extranodal long spinal cord ependymoma, 1 case of total resection, 1 case of subtotal resection, postoperative neurological symptoms and signs were improved. Surgical resection techniques, dorsal spinal cord incision site and postoperative respiratory function maintenance were discussed, emphasizing the spinal cord and even involving the medullary border of clear ependymoma should be carefully separated under the microscope, as far as possible to achieve total resection . However, small lesions along the central tube to violations of distant places, and no significant thickening of the affected spinal cord appearance of the part can not be removed, so as not to aggravate the nerve damage.