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目的:总结颈椎哑铃形椎管肿瘤的手术治疗效果。方法:回顾性分析15例颈椎哑铃形椎管肿瘤的临床表现、影像学特征、病理类型、手术治疗方法和预后。结果:15例均采用颈后正中入路,一次手术切除椎管内外肿瘤,9例随访6个月至5年,患者的症状和神经功能均有不同程度的改善,无肿瘤复发病例。结论:颈椎哑铃形椎管肿瘤可经颈后正中入路一次手术切除。
Objective: To summarize the surgical treatment of cervical dumbbell-shaped spinal tumors. Methods: The clinical manifestations, imaging features, pathological types, surgical treatment and prognosis of 15 cases of cervical dumbbell spinal canal tumors were retrospectively analyzed. Results: All the 15 cases were treated by posterior median posterior approach. The tumors were removed by one operation. Nine cases were followed up for 6 months to 5 years. The symptoms and neurological functions of the patients were improved to some extent without recurrence. Conclusion: The cervical dumbbell-shaped spinal canal tumor can be surgically removed through the posterior median neck approach.