目的探讨颈髓肿瘤的手术治疗问题。方法对１５６例颈髓肿瘤（髓内１００例，髓外５６例）行手术切除，根据肿瘤部位和类型，选择手术入路和处理方法。１１例使用运动诱发电位（ＭＥＰ）技术行术中运动功能监护。采用回顾性调查的方式，对治疗方法及手术疗效进行总结。结果１５６例颈髓肿瘤手术全切率８７２％（髓内８４０％，髓外９２８％），运动功能改善率８０８％（髓内７６０％，髓外８９３％）。结论颈髓肿瘤宜积极手术治疗。对不同部位和病理类型肿瘤的切除要遵循不同的原则和方法，术中运动诱发电位监护有助于提高手术效果 Objective To investigate the surgical treatment of cervical spinal tumors. Methods 156 cases of cervical spinal cord tumors (100 intramedullary and 56 extramedullary) were surgically removed. According to the tumor location and type, surgical approach and treatment were selected. Eleven patients underwent motor function monitoring using intraoperative motor evoked potentials (MEP). The way of retrospective investigation was used to summarize the treatment and the curative effect. Results The surgical resection rate was 872% (intramedullary 840%, extramedullary 928%). The improvement rate of motor function was 808% (intramedullary 760%, extramedullary 89 3%). Conclusion Cervical spinal cord tumors should be actively treated. Different parts and pathological types of tumor resection to follow different principles and methods, intraoperative exercise-evoked potential monitoring helps to improve the surgical results