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目的 分析椎管内良性肿瘤再次手术的原因。方法 回顾十年来13例行二次以上手术的椎管内良性肿瘤的临床资料。结果 二次手术时发现肿瘤复发8例,残留3例,髓内囊肿1例,肿瘤漏诊1例;三次手术4例;四次手术1例;六次手术1例。治愈8例,好转2例,无变化1例,加重2例。结论 椎管内良性肿瘤再次手术的主要原因为肿瘤复发、残留、漏诊或疤痕粘连。对复发肿瘤早期诊断和再切除,将有助于提高椎管内良性肿瘤整体治愈水平。
Objective To analyze the causes of reoperation of benign tumor in spinal canal. Methods The clinical data of 13 cases with benign tumors in the spinal canal treated more than twice during the past 10 years were retrospectively reviewed. Results In the second operation, there were 8 cases of tumor recurrence, 3 cases of residual tumor, 1 case of intramedullary cyst, 1 case of misdiagnosis of the tumor, 4 cases of 3 surgeries, 1 case of 4 surgeries and 1 case of 6 surgeries. 8 cases were cured, 2 cases improved, no change in 1 case, aggravated in 2 cases. Conclusion The main reason of reoperation of benign tumor in spinal canal is tumor recurrence, residual, missed diagnosis or scar adhesion. Early diagnosis and resection of recurrent tumors will help to improve the overall level of benign tumor in the spinal canal.