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1975～1987年,我们收治四例脊索瘤病人,现报告如下:例一,女,62岁。右腰腿剧烈疼痛2年,疑坐骨神经痛治疗,继之在右腰部突出枣样肿物1年,逐渐增大,大小便失控。1975年8月手术见:肿物上界第4腰椎平面下至第二骶椎,骶部瘤体向右侧背部呈哑铃形生长,瘤体马尾神经粘连,不能彻底清除,摘除10×10×7 cm 瘤体。病理诊断:脊索瘤。术后2年并发褥疮、衰竭死亡。例二,男,59岁。骶尾部疼痛4年。有外伤史,曾二次局部肿瘤切除史。肛门指诊可触及包块,拍片:骶骨部分缺如,尾骨可见明显间隙。手术将骶2以下肿瘤及尾骨一并切除,肿瘤约5×5×4 cm,与直肠浆膜层粘连,术后大小便无潴溜及失
From 1975 to 1987, we treated four patients with chordoma and are reported as follows: Example 1 Female, 62 years old. Severe pain in the right lower leg 2 years, suspected sciatica treatment, followed by prominent jujube-like mass in the right lumbar 1 year, gradually increased, uncontrolled urine. August 1975 surgery see: Mass at the top of the 4th lumbar plane to the second sacral vertebra, sacral tumor to the right back dumbbell-shaped growth, the tumor of the cauda equina can not be completely removed, removal of 10 × 10 × 7 cm tumor. Pathological diagnosis: chordoma. Postoperative 2 years complicated with bedsores, failure to death. Case two, male, 59 years old. Sacral caudal pain for 4 years. A history of trauma, had two local tumor resection history. Anus can refer to palpation of palpation, filming: missing part of the sacrum, coccyx visible gap. Surgery will be sacral 2 below the tumor and coccyx removed together, the tumor about 5 × 5 × 4 cm, and rectal serosa adhesions, postoperative laxity and slipped