脊髓脂肪瘤罕见,约占所有脊髓肿瘤的1％,然真正的脊髓髓内脂肪瘤更罕见,文献上仅有散在的半个病例报导。本文报道1985～1993年诊治的6例髓内脂肪瘤行,对临床表现、诊断方法、治疗与结果作出评价。本组男女各3例,年龄8～45岁(平均27岁)2例曾在它处作过手术,4例为新诊断者。均有颈式背痛,步态困难,无力与感觉异常,这些症状依肿瘤部位而异。此外3例有尿失禁。3个肿瘤位于颈 Spinal lip lipoma is rare, accounting for about 1% of all spinal cord tumors, but the real spinal intramedullary lipoma is even more rare, the literature only scattered half of the cases reported. This article reports from 1985 to 1993 diagnosis and treatment of 6 cases of intramedullary lipoma, clinical performance, diagnosis, treatment and results were evaluated. The group of 3 males and females, aged 8 to 45 years (mean 27 years) in 2 cases had surgery at its place, 4 cases were newly diagnosed. All have neck back pain, gait difficulties, weakness and sensory abnormalities that vary depending on the tumor site. In addition, 3 cases of urinary incontinence. Three tumors were located in the neck