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目的 探讨椎管肿瘤有效的诊断与显微外科治疗方法。方法 回顾性分析 1992年 1月～ 2 0 0 2年 12月收治的 192例椎管肿瘤患者的诊治方法及预后。结果 所有病例均经手术治疗 ,肿瘤完全切除 16 2例(84 4 % ) ,次全切除 18例 (9 4 % ) ,12例 (6 3% )行肿瘤大部分切除加椎管减压术。本组治愈 16 3例(84 9% ) ,神经系统症状明显好转 2 7例 (14 1% ) ,无变化 2例 (1 0 % ) ,无手术死亡。结论 椎管肿瘤的早期诊断和治疗是影响其预后的重要环节 ,影像学检查和显微外科手术则是其关键的诊治手段。
Objective To investigate the effective diagnosis and microsurgical treatment of spinal tumors. Methods A retrospective analysis of 192 cases of spinal canal surgery in January 1992 ~ December 2002 treatment and prognosis. Results All the cases were surgically treated. 16 2 (84.4%) tumors were resected completely, 18 (94%) subtotal resections and 12 (6 3%) tumors were resected and decompression was performed. The group cured 16 3 cases (84 9%), neurological symptoms were significantly improved 27 cases (14 1%), no change in 2 cases (10%), no operative death. Conclusion Early diagnosis and treatment of spinal canal tumor is an important part of prognosis. Imaging and microsurgery are the key diagnosis and treatment methods.